A recent alert issued by the Directorate of Drugs Control, Punjab, highlights serious concerns about using intravenous (IV) ceftriaxone with calcium-containing products, such as Ringer Lactate. This alert is based on reports of adverse drug reactions and underscores the risk of IV admixture incompatibility. Healthcare professionals are advised to take immediate action to ensure patient safety. Details of the Alert Issued By: Punjab Pharmacovigilance Center Key Concern Using IV ceftriaxone and calcium-containing products together can cause severe, potentially fatal complications due to precipitation in the bloodstream. This issue is particularly critical in neonates but extends to older infants and adults under specific conditions. Pharmacovigilance Center Findings The Pharmacovigilance Center in Punjab has reported numerous adverse reactions related to the combined use of IV ceftriaxone and calcium-containing products. Investigations revealed: ...
Standard Operating Procedures (SOPs) for Managing Nurses’ Duty Roster Version 3 (January 2019) Developed By: Khalil Ahmed Head Nurse, CCU, IH, PIMS, Islamabad Description: The purpose of developing these SOPs was to create uniformity and clarity in the policies regarding nurses’ duty roster. This document has brought the already practised rule into written form. The first version of the SOPs was introduced in Emergency and Accident Center, PIMS in 2014. Further improvements have been brought in the subsequent versions. Constructive feedback would be appreciated. A sample duty roster which incorporates some of these rules is attached. SOPs Rationales 1. Days off available in a month: 1.1. Weekly off: A nurse will be eligible to avail weekly days off equal to the number of Sundays in a month. Because every Sunday is an official day off, therefore, all nurses are eli...