Administrative Policies and Procedures. Cross Reference: Date Issued: 11/14 Date Reviewed: Date: Revised: Attachment: LASA Medication List Page 1 of 1

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1 Administrative Policies and Procedures Originating Venue: Medication Management Policy No. MM 2704 Title: Look-Alike/Sound-Alike Medications Cross Reference: Date Issued: 11/14 Date Reviewed: Date: Revised: Attachment: LASA Medication List Page 1 of 1 Purpose: Look Alike Sound Alike (LASA) medications involve medications that are visually similar in physical appearance or packaging and names of medications that have spelling similarities and/or similar phonetics. PMG has developed guidelines and practices in order to identify Look-Alike/Sound-Alike medications and prevent the potential for medication errors that may result from confusion of these medications. Policy: Using the LASA medication list from ISMP, along with any other medication deemed a candidate for LASA status, PMG will identify these pairs and take steps to ensure their proper storage and labeling that calls attention to the potential for medication error. Staff will be educated regarding LASA medications, their storage and the importance of safe medication administration. Please see attached list for a list of LASA medications used by Premier Medical Group. Procedure: 1) All LASA medications will be stored in a storage bin within in the locked medication area and will have a colored sticker applied to the medication in order to call attention to the potential for medication error. The LASA medications will also be separated in the storage area in order to enhance the awareness for the appropriate precautions to be taken with that particular medication. 2) The LASA medications will be updated at least annually per Joint Commission standards and as new medications are added to the formulary. Staff will be educated on the Look-Alike/Sound Alike Policy of PMG upon hire, upon additions to the formulary and upon annual competencies.

2 The Institute for Safe Medication Practice (ISMP) ISMP Medication Safety Alert Drug List UROLOGY DIVISION INTERNAL MEDICINE RHUMATOLOGY GASTROENTEROLOGY MULTIPLE SITES DRUG NAME Advicor Allegra Amiodarone Apidra Apresoline Aciphex Proton Pump Inhibitor Asacol Benadryl Benazepril Benicar Betadine (with povidine iodine) Betadine (without povidine iodine) Casodex Cedax csftriaxone CeleBREX CeleBREX Cidex Claritin(loratadine) Cymbalta Daptacel(DTaP) Depo-Medrol dimenhydrinate Ditropan Engerix-B -Adult EPINEPHrine CONFUSED DRUG NAME Advair Viagra Amantadine Priscoline Aricept Os-Cal Benazepril Benadryl Mevocar Betadine (without povidine iodine) Betadine( with povidine iodine) Kapidex Cidex cefazolin CeleXA Cerebyx Cedax Claritin Eye ( ketotifen fumarate) Symbyax Adacel (Tdap) diphenhydramine Dioval Zyban Darvon Diprovan Engerix-B- Pediatric/Adolescent ephedrine

3 ephedrine EPINEPHrine Evista AVINza fentanyl SUFentanil Fionase Flovent Flovent Flonase flumazenil fomepizole omeprazole Gentamicin Gentian violet Gentian violet Gentamicin HumoLOG HumuLin Humira Pen Humapen Memoir (for use with ) Humapen Memoir (for use with ) Humira pen HumoLOG 70/30 mix 75/25 R U-100 Humulin R U-500 Humulin R U-500 Humulin R U-100 HydrALAZINE HydrOCYzine Inderal Adderall InFLIXimab RiTUXimab Flumazenil Tuberculin purified protenie derivative (PPD) Intuniv invega Iodine Lodine Janumet Sinemet Januvia Enjuvia Januvia Jantoven Ketalar Ketalar Methadone Nalaxone Lantus Latuda Lantus Lente Levaquin Lariam Levemir Lovenox Levofloxacin LevERITAcetam Levothyroxine Lotronex Lovaza LORazepam Luvox Lasix Lyrica Hydrea Lyrica Lopressor

4 Methadone Metoprolol Miralax Mirapex Mirapex Miralax Motrin Neurontin Nalbuphine Nalaxone Nalocone Nalaxine Nalbuphine Narcon Norcuron NexAVAR NexIUM NexIUM NexAVAR Norcuron Narcan NovoLOG NovoLOG NovoLOG Flexpen NovoLOG mix 70/30 Flexpen NovoLOG Mix 70/30 70/30 Omeprazole Fomepizole Orencia Oracea Os-Cal Asacol Penicillin Penicillamine Pradaxa Plavix Pristiq PROzac Proscar Provera Protamine Proton Pump Inhibitors Lotronex Protamine PROzac Pyridium Pyridoxine Pyridoxine Pyridium RABEprazole Rapaflo Rapamune Razadyne Rozerem Rifampin Rifaximin Rifaximin Rifampin RiTUXimab InFLIXimab Robinul Reminyl Rozerem Razadyne SEROquel XR SEROquel Solu-CORTEF Depo-Medrol Solu-CORTEF Apidra Inspra SUFentanil FentaNYL

5 Tetanus diptheria toxoid (Td) Toradol Tylenol Tylenol PM Varivax Vesicare Viagra Zetia Foradil Influenza Virus Vaccine Tetanus diptheria toxoid (Td) Tylenol PM Tylenol VZIG (Variecella-zoster immune globulin) Vesanoid Allegra Bextra

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