Background An inpatient medication chart review at the Gold Coast Hospital identified shortcomings with the prescribing and monitoring of antiepileptic medications. Aim To evaluate medication management of patients with epilepsy, seizure or convulsion; to map their transition through the health system; and to identify lifestyle behaviours that may lead to overt risks for seizure occurrence. Method A retrospective observational audit of adult patients (16 years and over) admitted to hospital with a diagnosis of epilepsy, seizure or convulsion from 1 to 31 January 2012. Results Majority of the 62 episodes of care investigated involved patients who were discharged directly from the ED (68%). Only 30% of all patients discharged from an inpatient unit received a discharge medication record from a pharmacist. Non‐adherence with antiepileptic medications, alcohol and/or recreational drug use and prescription medication misuse were identified as overt risks for seizure occurrence. Conclusion Valuable insights were gained into the management of seizure patients. The role of the ED pharmacist was reviewed to focus on high‐risk seizure patients. An increase in the provision of discharge medication records and patient education on the overt risks for seizure occurrence is needed.
Background: Aseptic preparation of pharmaceuticals is regularly undertaken by pharmacists and technicians in hospital pharmacy departments. Despite the existence of practice standards and personnel experienced in aseptic preparation, errors can occur which can jeopardise staff safety. Aim: To describe three cases of photokeratitis from inadvertent exposure to ultraviolet light during aseptic preparation. Clinical Details: 3 clinical pharmacists preparing aseptic products were exposed to ultraviolet light for approximately 2 hours. They developed photokeratitis with diffuse punctate epithelial erosions and burns to the corneas. They also experienced a reduction in their visual acuity. The pharmacists were reviewed by ophthalmologists and treated conservatively. They all made uneventful recoveries. Conclusion: This report reinforces the hazards of ultraviolet lights used in sterile rooms. It is essential that training of aseptic preparation starts with switching off of the ultraviolet lights.
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