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III-9 STATE OF GEORGIA PHARMACEUTICALS CONTRACT PROCEDURE
The State of Georgia has elected to use the Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP), as the agency contracting drug purchases. The State of Georgia, Department of Administrative Services (DOAS) is responsible for all State of Georgia purchasing contracts, including the MMCAP. MMCAP is responsible for bidding the drug Mometasone Lotion contract annually and obtaining addendum, as requested by the various State agencies during the contract year.
The MMCAP reviews each bid by Mometasone 0.1 Cream evaluating the following:
(1) Bioavailability material file on each product as deemed necessary:
(2) Vendor liability insurance coverage:
(3) Files and reports containing problems submitted by state agencies utilizing the products (therapeutic failures, defective products, supply problems and prime Mometasone Cream vendor complaints from manufacturers):
(4) Return good procedure from vendor of the product:
(5) Recall Mometasone Spray history of the vendor or FDA problems:
The contract is awarded to the product with the lowest price that is FDA approved. FDA approval is determined by reference to the "Approved Drug Products with Therapeutic Equivalence Evaluations" or the most recent FDA Database.
When the FDA approved product with the Mometasone Cream 0.1 lowest price does not meet one or more of the above criteria, it may be dual awarded. Dual awarding is then made to the product with the lowest price, as well as the product Buy Mometasone Online with the lowest price Mometasone Ointment which meets the required criteria.
III-10 USE OF MINIMAL SEDATION FOR CLINIC APPOINTMENTS AND DIAGNOSTIC PROCEDURES
1. Introduction
Clients who are anxious or unable to cooperate for necessary diagnostic tests and treatments may benefit from low doses of medications to alleviate anxiety and Mometasone Furoate Spray improve the individual�s ability to cooperate. These medications should be administered on the living units prior to transport to Mometasone Furoate 0.1 the appointment. In general, these medications are not administered in the clinics and clients requiring heavier sedation, including IV procedures must be managed under a Moderate Sedation Protocol.
2. Purpose
The purpose of this policy is Mometasone Nasal Spray four-fold: 1) to define minimal sedation acceptable for clinic appointments and procedures; 2) to identify the persons who are authorized to prescribe and administer these medications; 3) to establish the evaluation and monitoring requirements for clients receiving these medications; and 4) to outline prescribing requirements and provide a table of approved medications which may be used.
3. Definition
Minimal What Is Mometasone sedation is defined as a drug-induced state during which the individual client responds normally to verbal commands. The client whose mental status is initially abnormal should respond as usual to verbal and tactile stimulation. Although cognitive function and coordination may be impaired, ventilatory, and cardiovascular functions are unaffected.
4. References
JCAHO CAMH Standards
JCAHO CAMBHC Standards
Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists
Anesthesiology, 1996; 84:459-71
5. Evaluation
The physician/dentist must evaluate the client�s physical/medical status including age and weight, current medication regimen, and previous experience with these medications in order to select an appropriate medication, dose of medication and route of administration.
The nurse must check the client's vital signs and look for any contraindications to the prescribed medication prior to administration. Should the nurse identify a potential problem, the medication must be held until the physician/dentist is notified and further orders are obtained. Examples in which the nurse should hold the medication and Mometasone Furoate Cream notify the physician include, but are not limited to; abnormal vital signs, a change in the client�s general physical condition, a change in the Mometasone Nasal client�s drug regimen since the order was written and a recent prn medication which could potentate the effect of the prescribed medication.
6. Application
This procedure is applicable to both campuses.
7. Monitoring
7.1. Prior to clinic/diagnostic appointment
The administering nurse Mometasone Furoate Lotion should measure and record vital signs before administration of Buy Mometasone any sedative medication. A staff member must continually observe the client following administration to insure the client remains fully conscious. Fully conscious is defined as easily aroused with normal response to verbal commands. Since cognitive function and coordination may be impaired, a staff member should assist any client who has received Mometasone 0.1 any sedative medication until the effects are no longer noticeable. Such Buy Cheap Mometasone assistance would include aiding with ambulation, particularly in the transition from sitting or lying to standing and walking. Any unusual findings or response Mometasone Furoate to the medication must be immediately reported to the nurse for evaluation. The nurse should inform the physician/dentist of significant abnormal findings Order Mometasone such as vomiting, labored respirations, cyanosis, aspiration, not arousable to verbal or tactile stimulation, blood pressure less than 90/60, pulse rate less than 60 or respiratory rate less than 12.
7.2. Intra appointment monitoring
Clinics/diagnostic areas receiving clients who have been pre-medicated must have internal policies and procedures which provide for acceptable client monitoring and emergency medical response. Clinics/diagnostic areas should have immediate access to emergency Mometasone Furoate Ointment drugs approved by the ECRH Pharmacy and Therapeutics Committee. A positive pressure emergency oxygen source should be available. Clinic staff should be trained in early recognition of medical emergencies and should be prepared to provide basic life support and activate Emergency Medical Services.
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