High Alert Medications

This quiz is only for specific Carewest new employees or those returning from an extended leave.  All Regulated nurses at Carewest (RN, LPN, RPN, Grad nurses) must complete it.   HCA (CCA)staff only  in the C3 program at Beddington, Sarcee have to complete as well. 
High Alert Medications Definition:

This content refers to medications with higher risk of causing significant client harm and injury when used in error.
Important Things to Know
  • Pharmacy maintains a list of High Alert Medications which is reviewed annually
  • To reduce risks of errors, Pharmacy will supply high-alert medications in a ready-to-use format whenever possible.
  • "High Alert Medication" label stickers are applied to packaging and storage containers.
  • High Alert Medications often, Look alike, Sound alike, and/or Read alike. The use of TALLman lettering assists with distinguishing the subtle differences.
  • The Therapeutic Index (TI) is the concentration of medication required to produce a therapeutic effect without causing toxicity. Medications such as Warfarin, Digoxin, and Levothyroxine, have a narrow TI in which a small dose difference may lead to adverse effects.
 High-Alert Medication Groups:

!       Anticoagulants

!       Benzodiazepines

!       Chemotherapy Drugs

!       Concentrated Electrolytes

      Hypoglycemic Medications

      Opiate Narcotics

!       Local Anesthetics

      Transdermal Patches

      Dialysis Solutions
·       All High-Alert Medications are stored in individual containers/bins with only one type of medication per storage container. Bins are labelled with generic name, strength, dosage form, and product size.

·       All site prepared doses of insulin, heparin, or potent narcotics, require Independent Double-Check to verify calculations and the dose prior to administration where a second nurse/regulated health professional is available. Co-signature is used to indicate Independent Double-Check is completed. Note: double-check is not required for Low Molecular Weight Heparin (LMWH) supplied as a pre-filled syringe in the ordered dose.

·       Errors involving High Alert Meds may have serious consequences and are automatically deemed Severity Level 3 or 4.

Question Title


Question Title

Example of how High Alert Medications are identified in Carewest

Example of how High Alert Medications are identified in Carewest
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