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From The Critics
Reviewer: Anna Wodlinger Jackson, PharmD(Inova Fairfax Hospital)Description: This book consists of guidelines for administration of intravenous medications. While many of the recommendations could be applied universally, several of them are specific to the Cleveland Clinic Foundation.
Purpose: The purpose is to provide guidelines to assure appropriate administration of medications. The drug monographs contain information on whether a medication can be administered on a specific nursing unit based on the monitoring intensity and how it can be administered. This information is useful for any hospital, but many of the recommendations are specific to the Cleveland Clinic and therefore the application and actual use of the information is limited.
Audience: "The book is written for any trained personnel involved in assurance of appropriate administration of medications. The target audience would be hospital practitioners. All of the authors have either PharmD or RPh degrees, and several have BCPS certifications, which certainly qualifies them as credible authorities on the appropriate administration of medications. "
Features: "The book includes monographs of medications that are administered IV. Each monograph addresses administration issues such as where it can be administered (nursing unit), how it is to be administered (IV push, IV infusion, intermittent infusion), concentration and dosing information, and monitoring parameters and cautions. The medications included are only those that are on formulary at the Cleveland Clinic and many of the recommendations are specific to the Cleveland Clinic's policies. The only use for this book for practitioners outside of the Cleveland Clinic would be as an example from which to formulate a guide specific to the institution in which they are practicing. The format is one big table, but the value of this format is questionable. "
Assessment: The usefulness of this book for practitioners outside of the Cleveland Clinic Hospital System is limited. At best, it could be used as a guide/example for hospitals to prepare their own IV administration manual.
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