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Nearly a year ago, Brazilian competitive swimmers Cesar Cielo, Henrique Barbosa and others were found to have furosemide, combined with the possibility of the substance coming from cross-contamination. While these athletes got a warning, it could have been much more severe – they could have lost their chance to compete as well as their reputations. Cross contamination should be avoided across all industries, but none so much as in the pharmaceutical industry for many reasons. For instance, a drug, especially one like penicillin could create a hyper-sensitivity and even death in some patients. It is commonplace to think that the best way to avoid this is by having a supremely sterile environment for both manufacturing and packaging of items.
This is a good start, but here are three ways you can further avoid cross contamination. According to the pharmaceutical guidelines there are many ways that this could happen. Having multiple products near one station, two or more drugs of similar size, shape, and color, and same apparatus or instrument used to pack multiple items are three ways that you can avoid
Have a different station for each product as often as possible. While this may not always be practical, it is the safest way to ensure products will not get mixed up.
For adjoining stations, make sure that the products packaged are dissimilar. It will be easier to differentiate the products if you have a small, round red pill at one station, and on either side are different colors, shapes, and sizes.
As often as possible, use different apparatuses or instruments to measure out the proper dosages of the product. When instruments are shared, it can create quite a problem if residue from one drug rubs off and mixes with another.
While it might seem tempting to use recycled instruments, don't. As stated in Pakistan Today, used and recycled instrumentations and apparatuses come with a wide array of contaminants already on them and embedded in the cracks. It is far safer to purchase new equipment. Contact us to discuss how to make your pharmacy as safe as possible.
Pill Counting –the primary task in filling …? |
Most of us think of pill counting as the primary work in filling scripts in the modern pharmacy. That is probably not correct as the actual entry of the script into the Pharmacy management System (PMS) may well take more time to accomplish. Once the script is entered the PMS generates a label package that becomes the process driver unless the pharmacy has a full robotic machine on site. If the script calls for a drug that the Robot has in one of its drug cells, and the unit is capable of picking up a selected empty vial of the correct size (usually a choice of 2 or 3 sizes) and delivering it to a labeling station where the label is printed and applied, then the PMS will send the script info to the Robot. These robots are used for the top 100 to 200 drugs depending upon the script volume per day. The scripts that call for drugs in the balance of the formulary are sent forward to be filled manually (usually more than 50% of scripts representing 80%+ of the formulary).
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