CA2516047A1

CA2516047A1 - Drug administration kit

Info

Publication number: CA2516047A1
Application number: CA002516047A
Authority: CA
Inventors: Faisal Khawaja
Original assignee: Individual
Current assignee: Individual
Priority date: 2004-08-16
Filing date: 2005-08-16
Publication date: 2006-02-16
Also published as: US20060070895A1

Abstract

A novel drug dispensing and tracking system is provided. In one aspect, the system is provided as a kit comprising a plurality of codes containers and a correspondingly coded medication administration record sheet. The invention also includes a method of dispensing medications.

Description

DRUG ADMINISTRATION KIT
FIELD OF INVENTION
[0001]The present invention relates to a system far monitoring drug delivery in hospitals and other medical facilities. More particularly, it relates to a kit to be used by a pharmacist and nurse to reduce errors in the drug delivery process.
BACKGROUND OF THE INVENTION

[0002] In a hospital or other institutional setting, a nurse is frequently required to keep track of medications for different patients and to make sure that every patient gets the correct medication at the correct time of day. It is known however, that error's in drug administration do occur. Such errors pose a threat to the patient and may interfere with their treatment and recovery. In the worst cases, administration of an incorrect drug to patient can have serious health effects and is some times even fatal.
[0003 There are many steps in the drug delivery process where an error can occur. Normally, the attending physician prescribes a drug or several drugs for a patient. The prescription is inputted into the pharmacy through a paper prescription or through a centralized computer system. The pham~acist prepares the prescriptions required far each patient. The actual delivery of the drugs or medications to the patient is done by,a nurse or other hospital staff person that goes from patient to patient, identifies the patient and delivers the appropriate medication to that patient. The nurse or practitioner then signs a record sheet indicating that the medication was in fact administered at that time.
[0004] Errors can occur at any stage of the drug delivery procedure. For example, some errors result from an erroneous prescription by the physician.
Other errors occur during the delivery chain when either the pharmacist provides the wrong drug or the nurse administers medication to the wrong patient or at the wrong time. The present invention is directed towards reducing errors in the delivery chain by co-ordinating the delivery container with a record sheet that the practitioner signs when the drug is administered.

[0005] !n recent years, several different types of medication containers have been developed in order to attempt to reduce the number of errors in the drug delivery chain. For example, United States Patent No. 5,788,079 is directed to a set of individual pill containers. A sheet of plastic material is provided which has a plurality of molded recesses. Each of the recesses defines a small upwardly open cavity that can be filled with pills. After filling, a set of these individual pill containers, a self-adhesive sheet of paper is used to saver and seal the containers. This type of system is particularly useful when a patient needs to take a plurality of pills at different times of the day.
For example, a patient may require pills (a) and (b) three times a day and pills (a) (b) and (c) once a day. The different medications for each time of day can be put in a separate container in the set.
[0006] United States i~atent No. 5,050,739 discloses another type of disposable medication package that comprises a card used in conjunction with a blister pack to hold oral solid dace medication in the form of tablets and capsules. By looking at the medication card, a patient can easily see whether or not they have taken the required medication at the required time.
[0007] Another type of known dispensing system is the unit-dose system.
Unit-dose systems have separate packages for each medication with 30-day quantities. e.g. Tylenol 325mg has its own card, Lipitor 9 Omg has its own card, etc. There are problems associated with this excessive packaging including environmental pollution and operational inefficiency for nursing staff since much time is spent popping pills out of each and every blister pack.
[0008] Thus, there remains a need far further improvements in the tracking of drugs from the pharmacist to the patient. There is also a need far a system that makes it easier for a nurse to dispense the medication and to see at a glance which medication should be given.
SUMMARY OF THE INVENTION
[0009] It is an object of one aspect of the invention to provide a drug delivery System that facilitates tracking of the administration of a drug to a patient.

[0010] The present invention is particularly useful for a mufti-dose system in which different and multiple medications, that are to b$ administered at the same time, are packaged together within the same container. This dramatically reduces nursing time spent as well as the negative environmental impacts of unit dose systems.
[0011 ] The drug delivery system of the present invention is preferably provided as a kit. The kit comprises a plurality of pill containers coded for administration on a certain day or time and a medication administration record sheet coded in the same manner. The pill containers may be in the form of a cup, an envelape or a receptacle in a plastic pill ease or a blister pack.
[0012] In a preferred embodiment, the pill containers are receptacles in a blister pack and the sealing backsheet is color coded for times of day. The same color coding is applied to the medication record sheet.
BRIEF DESCRIPT10N ()F THE DRAWINGS
[0013] These and other features of the invention will became more apparent from the following description in which reference is made to the appended drawings wherein;
[0014] Figure 1 illustrates a set of pill cantainer~ for use in a drug delivery kit;
[0015] Figure 2 illustrates one embodiment of a dnag administration record sheet for use in the drug delivery kit; and [0016] Figure 3 illustrates another embodiment of a drug administration record sheet for use in the drug delivery kit.
DETAILED DESCRIPTION
[0017] There is a crucial need to ensure the safe delivery of medications to patients in hospitals, retirement homes and other institutions. This need is highlighted when a patient may be taking more than one medication and different medications at different times of the day.

[op18] To facilitate the appropriate administration of medication, it is currently a practice for the pharmacist to review the list of medications prescribed for a patient and then prepare a series of pill containers where each container contains the medications that the patient should be taking at a certain time of day. The medications far all the patients are then delivered to the hospital ward or institution and the medication is given to the appropriate patient by a nurse or other qualfied individual. Once the medication has been given to the patient, the person administering it signs a record sheet indicating what medicine was given at what time. 1t is very important to keep good records of the administration to keep track of what was actually administered (as opposed to prescribed} for the patient at that time. This allows institutions to track the drugs and it also provides an important record 'in case of any adverse effects. Furthermore, it allows a practitioner to look at a glance and see what medicatsans'a patient is under the influence of at any particular time of day.
j0019] The present invention makes the tracking of medication administration even easier by providing pill containers and sign-otf sheets that work together to prevent errors. in the prior art, pill containers could be identified in various ways, i.e. by patient name, by bed number, by prescription number, etc. The recordation sheet could also be provided formatted in a variety of ways. The administering practitioner would then need to ensure that they were giving the right medication at the right time and that they were recording it properly on the recordation sheet. The present invention simplifies the process by providing a set of pill containers and a recordation sheet that match in terms of cplor and orientation. The invention is particularly useful for multi-dose systems where multiple medications are packaged together for administration at the same time of day. Thus, the nurse has to open only one package for all the medications prescribed for an individual patient far a Certain time of day.
[0020] The invention is provided as a kit that comprises a set of pill containers arranged by day of the week and time of day and a corresponding medication administration record sheet. In one preferred embodiment, the pill containers are provided in a~blister pack sealed with a backsheet that is printed with different indicia corresponding to different times of day. Far example, the row corresponding to morning aauld be pink, the raw corresponding to noon could be yellow, the row corresponding to evening could be blue and the row corresponding to night could be green. It is clearly apparent that various types at color or symbol coding can be used. The medication administration sheet also comprises rows corresponding to various times of day. An important aspect of the present invention is that the indicia corresponding to the different times are the same on the pill containers and on the medication record sheet. !=or example, if morning is pink an the pill container, then the row far morning on the medication administration sheet is also pink. In this way, it is very clear to the nurse or whoever is administering the.
medications that if it is morning, all the medications should be in pink containers. This also reduces the chance of errors in recording administration. if a pink container is being administered, then the sign-off should be on a pink row. By maintaining the same coding an both the pill container and the retard sheet, the probability of an error occurring is reduced.
[Oa2la preferred embodiments of a kit according to the present invention are illustrated in Figures 1, 2 and 3. The kit comprises a set of pill container's as such as that is shown in Figure 1. The containers 't2 are preferably formed from a sheet of molded plastic material 'f 0 and a~~e sealed with a backsheet 'E 4. The backsheet may be of a variety of materials that can be printed upon.
It is preferably paper. The backsheet includes adhesive regions for sealing each pill container individually. Both the sheet of molded plastic defining the containers and the backsheet are provided with perforations 16 so that they can separated into individual sealed pill containers.
[0422] The backst~eet is provided with differential markings or indicia which correspond to times of the day when medication is usually administered. Far example, in the Figures, the row corresponding to morning is identified by horizontal fines ~ 8, the row corresponding to noon is identified by iaackward hatching 2D, the raw corresponding to evening is identified by vertical fines and the row corresponding to night is identified by fa~ward hatching 24. It is clearly apparent that while the pill container set is Shawn with rows for four -s-times of day for exemplary purposes, a set of containers could be provided which correspond to only once a day or a set of containers could be provided with markings corresponding to eight or mare dosage times.
[0023] The kit al' the invention further comprises a medication administration record sheet 30. Examples of retard sheets are shown in Figures 2 and 3. In Figure 2, the record sheet intrudes a drug identification column 32 that is used to identify the medication to be given, Far each drug, a series of taws 34, 3~, 38, 40 corresponds tp times of day when the drug might be given.
Columns 42 correspond to days of the week. When the drug is administered, the person administering the drug puts a signature 44 on the record sheet In the intersection of the time of day and day of the week (e.g. Sunday noon).
[0024) A more preferred record sheet for use in tile kit of the present invention is shown in Figure 3. The medication administration record sheet 50 of this embodiment is based an a monthly riecord with the option for several daily dosages. There are thirty-one vertical columns 52 far the days of the month and six rows a4 for up to slx dairy dosage times. There are eight boxes 56 for up to eight medications to be delivered. It is apparent that the general concept of the present,inventian can be applied to medication regimens with administration of a drug from once daily only up to six, eight ar even 24 administrations per day. It is also apparent that a record sheet can be provided that is formatted for four weeks (l.e. 28 days) monthly, bi-monthly, semi-monthly, etc.
[002] While a preferred embodiment is illustrated using a blister-pack type of container system, it is clearly apparent that other pill cantalner systems, such as envelopes, cups, cardboard sheets, reusable plastic pill containers such as thane having a plurality of receptacles far time and day of the week and the like could also be used in the present invention, as tang as the container markings correspond to the markings an the sign-off sheet far the same time.
in the illustrated embodiments, the marfcings are different for different times of day but are the same for different days of the week. In another preferred embodiment, unique indicia are used for days of the week. In a further preferred embodiment different indicia are usad for both the times of day and -s-the day of the week. Far exempts, Sunday could be yellow and marring could be a horizontal stripe. Thus, Sunday morning would be yellow with a horizontal stripe and Wednesday morning might be blue with a horizontal stripe and so on. ft is also apparent that the orientation of the rows and columns is flexible within the scope of the invention. Far example, while the days are shown as columns and the times of day are shown as rows in the drawings provided herein, the days could just as easily be aligned as rows and the times as columns. While the important aspect is that the coding on the pill container and on the recordation sheet match, it is preferable, but riot essential, that the orientation In rows and columns also matches.
[0026] A method of dispensing medications,is provided. Multiple medications to be administered to a patient at a particular time of time are placed in a pill container that is coded for that time of day. A medication administration sheet that is ceded in the same manner as the pill container for the same time of day is tilled in indicating the medications to be administered and the sheet and the containers are provided to the person who will be administering the medications_ [002Tj The present invention also provides a method of dispensing medication. The method comprises the steps of obtaining a container coded fior a parficulaT time of day that is filled with medications for administration at that time of day, administering the medications and signing off on the administration on a medication administration record which has the same ceding for time of day.
[0028] The present invention has been described with regard to one or more embodiments. However, it will be apparent to persons shilfed in the art that a number of variations and modifications can be made without departing from the scope of the invention as defined in the claims.

Claims

1. A kit for multi-dose delivery at medications, said kit comprising a plurality of pill containers coded for administration on a certain day or time and a medication administration recordation sheet having corresponding coding for the day or time.

2. A kit according to claim 1 wherein the pill containers and the record sheet are correspondingly color coded.

3. A kit according to claim 1 wherein the pill containers are provided in the farm of a cup, an envelope or a receptacle.

4. A kit according to claim 1 wherein the plurality of pill containers are provided in a buster pack comprising a sheet of thermoplastic material having a plurality of molded recesses and a backsheet.

5. A kit according to claim 2 wherein the backsheet is coded according to Time of day and the record sheet includes the same coding for the same time of day.

6. A kit according to claim 5 wherein the backsheet and the record sheet are correspondingly color-coded.

7. A kit according to claim 5 wherein the pill containers and the record sheet are coded with a different color for each daily dosage time.

8. A kit according to claim 5 wherein the pill containers and the record sheet are coded with a different color for each day of the week.

9. A kit according to claim 1 wherein the pill containers and the record sheet are arranged in columns according to day of the week and rows according to the time of day.

10.A kit according to claim 1 wherein the pill containers arid the record sheet are arranged in columns according to the time of day and rows according to the days of the week.