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5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.97315-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54973315-AGW-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM <table><tr><td colspan="3">Policy Title: Medication Safety</td></tr><tr><td>Department/Unite:Infection Control Unit.</td><td>Policy Number:UOJ-MSA-IC-P/13</td><td>Replaces No.:</td></tr><tr><td>Creation Date: 10/12/2022</td><td>Effective Date:</td><td>Review Date:</td></tr></table> Revision History <table><tr><td>Subject</td><td>Changes made</td><td>Done by</td><td>Revision date</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td colspan="4">5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM</td></tr><tr><td></td><td></td><td></td><td></td></tr></table> 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.97315-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM Page 1 of 5 Enc: الرققه Date: اللغه Ref.: [UOJ-MSA-IC-P/13-الرقم] المملكه العربيه السعوديه - الجزء @Uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 حده 80327 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.973:15 AM-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.97315-30/Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) 1. CONDITIONS: 1.1 Pharmacy, Internal Medicine, Nursing, Psychiatry, Dental department 2. PURPOSE: 2.1 To identify how to handle with antibodies. 2.2 To identify how to handle with vaccines. 3. DEFINITIONS: 3.1 To maintain safety of drug therapy. 4. Related Documents: N/A 5. POLICY: 5.1 It is the University of Jeddah Medical Center policy to institute an infection control policy to monitor and prevent the dispensing and administration of contaminated medications and to prevent in-house spread of infection and follow the antibiotic policies. 6. PROCEDURES: 6.1 Infection Control: 6.1.1 1 Personal health standards and cleanliness will be maintained 6.1.2 Hands will be washed prior to handling all medications and on a regular basis throughout the day. 6.1.3 Do not handle open medications, if actively infected. 6.1.4 Maintain integrity of sterile pharmaceutical preparations. 6.1.5 Participate in the investigation of infected outbreaks, especially where medication is involved. 6.1.7 Report all IV reactions to Pharmacy (Adverse Drug Reaction Form). 6.1.8 Do not store foodstuffs in Pharmacy. 6.1.9 Practice aseptic technique when handling sterile preparations. 6.1.10 Maintain reference data on all anti-microbial drugs dispensed (actions, incompatible, deterioration 6.1.11 Have method for emergency procurement of vaccines and other biological. 6.1.12 Maintain drug records in accordance with Pharmacy and Therapeutics Committee. Page 2 of 5 6.1.13 Consult with the Infection Control Committee. Enc: الرققه Date: اللغه Ref: [JOJ-MSA-IC-P/13] المملكه العربيه السعوديه - Husail Aljaleh Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 ه.د 80327 ب.د @Uofjeddah www.uj.edu.sa +966 12 23344444 identity@uj.edu.sa 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.973.13-A6-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54:07:33-36Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM اداره الخدمات الطبيه Medical Services Administration دويه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه بدره University of Jeddah (059) 6.1.14 regarding issues involving antimicrobials/antiserum. 6.1.15 Alert all personnel handling sterile materials to identify products or preparations that are easily 3-6-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM contaminated. 6.1.16 Monitor antibiotic usage as to appropriateness. 6.1.17 The antibiotics are not given except by a prescription. 6.1.18 Usage is explained and the side effects to the patients. 6.2 Supplies: 6.2.1 Cracked bottles or bottles with broken seals or syringes with expire date of validity will not be used. 6.2.2 Discard all needles and syringes after single use in red plastic containers. 6.3 Admixtures: 6.3.1 Sterile technique will be used in the preparation of all IVs. 6.3.2 All personnel involved with IV preparation will be in-services on sterile technique. www.yqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM 6.4 Housekeeping: 6.4.1 Pharmacy will be cleaned on a regular basis. Daily upkeep will be the rule. 6.5 Engineering: 6.5.1 Proper ventilation and temperatures will be maintained within the Pharmacy. 6.5.2 Maintain cleaning & functioning of the refrigerators. 6.6 Non-Intravenous Medications: 6.6.1 Unit-dose packaging will be purchased whenever possible. Items not available in unit dose will be dispensed by the Pharmacy in a limited supply in a sealed plastic bag used solely for this purpose. 6.6.2 Intramuscular medications will be purchased in unit dose packaging. If a multi-dose is used, It will be stored in accordance with Policy and Procedure. 7.1 Accountable to the Infection Prevention Control Practitioner/Committee. 7. RESPONSIBILITIES: Page 3 of 5 Enc: الرقماء Date: اللاري Ref.: [UOJ-MSA-IC-P/13-رقم] المملكه العربيه السعوديه - الجزاير © @uofjeddah [Non-Text] www.uj.edu.sa [Non-Text] +966 12 2334444 © identity@uj.edu.sa المملكه العربيه السعوديه - الجزاير Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 د.م. 80327 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 50:49:33-ASN-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.973:15 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2011 جامعه جده University of Jeddah (059) 8. Appendix: N/A 9. REFERRANCES: 9.1 Ministry of Health Manual for Infection Control 6k9yaEP+ylg==-6/20/2023 10:03:15 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM Prepared By: Page 4 of 5 Enc: المرقاءات Date: اللات بع Ref.: [UOJ - MSA-IC-P/13:الرقم العربيه السعوديه - مسله العذيل Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 ه.د.80327 ب.د.80327 @Uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.973.313-A6-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM 5497-313-36-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 54.97315-AGW-Wh1wYqyR6Z66k9yaEP+ylg==-6/20/2023 10:03:15 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) Name: Mr. Nawaf A. Alzahrani Position: Supervisor, Infection Control Unit Date: 10/12/2022 Signature: Reviewed By: Name: Dr. Eman Balbaid Position: Supervisor, General Clinics Date: Signature: Recommended By: Name: Mrs. Ahlam Alrefai Position: Supervisor, Quality&Patient Safety Unit Date: Signature: Approved By: Name: Dr. Mansour Tobaiy Position: Supervisor, Medical Services Administration Date: Signature: Page 5 of 5 Enc: الرققه Date: اللارجه Ref.: UOJ-MSA-IC-P/13:الرقم المملكه العربيه السعوديه - وزاره التعليم Kingdom of Saudi Arabia - Ministry of Education © @uofjeddah [Non-Text] www.uj.edu.sa [Non-Text] +966 12 2334444 [Non-Text] identity@uj.edu.sa المملكه العربيه السعوديه - جامعه العباب Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 ده 80327 ر.ب