Do we need a second verifier for heparin?

Note: Heparin needs a second verifier! DVT/PE protocol :Physician enters initial Heparin bolus & infusion orders. Per policy, ICU/ED RN then edits CRPS for rate changes & enters repeat PTT. Poster developed by CCU nursing team spearheaded by Amber Greene, RN. Author vhadurhollost Created Date 10/16/2013 18:41:00 Title

http://files.hgsitebuilder.com/hostgator257222/file/heparindvtpeprotocolforbedside_07_09cards.docx

How is compliance with the heparin high-risk medicine standard evaluated?

Compliance with the Heparin and other Anticoagulants High-Risk Medicine Standard and associated High-Risk Medicines Policy must be evaluated through regular medication storage audits, hospital acquired complication data and analysis of incident reports.

https://www.canberrahealthservices.act.gov.au/__data/assets/word_doc/0005/1981346/High-Risk-Medicine-Standard-Heparin-and-other-Anticoagulants.docx

How do you switch from IV morphine to oral morphine?

To switch from intravenous to oral therapy: find dose baby is receiving intravenously per hour, multiply by 6 (because oral morphine is given six hourly) and then multiply by 2 because oral morphine is half as bioavailable as the intravenous preparation. Prescribe this dose 6 hourly.

https://www.health.act.gov.au/sites/default/files/2021-02/Neonatal%20Intensive%20Care%20Drug%20Manual%20-%20Canberra%20Health%20Services.doc

What are the possible adverse effects of morphine?

Respiratory depression is the chief hazard of all morphine preparations. Respiratory depression occurs more frequently in elderly and debilitated patients, and in those suffering from conditions accompanied by hypoxia or hypercapnia when even moderate therapeutic doses may significantly decrease pulmonary ventilation.

https://www.tga.gov.au/sites/default/files/auspar-morphine-sulfate-pentahydrate-190321-pi.docx