FDA Adverse Event Other Summary report: N

ALCOHOL PAD

MDR report key: 19424856 · Received May 29, 2024

Report

Report Number
MW5155520
Event Type
Other
Date Received
May 29, 2024
Report Date
May 29, 2024
Manufacturer
UNK
Product Code
LKB
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

FOR A PATIENT WITH PRIMARY LANGUAGE OF SPANISH. RX# (B)(6) RECEIVED ON (B)(6) 2023. FIRST INPUT ON (B)(6) 2023 BY TECHNICIAN. E-SCRIPT SIG READ: "TEST 2 BY MISC. (NONDRUG; COMBO ROUTE) ROUTE EVERY DAY" WITH MESSAGE TO PHARMACY "INCREASED FREQUENCY." PRESCRIPTION INPUTTED AS "USELO PARA ANALIZER SU AZUCAR EN LA SANGRE UNA VEZ AL DIA (USE TO TEST BLOOD SUGAR ONCE DAILY). QUANTITY DISPENSED 100, DAY SUPPLY INPUTTED AS 50. PRESCRIPTION DIRECTIONS, QUANTITY. AND DAY SUPPLY INPUTTED WERE NOT CONSISTENT, AND PHARMACIST FAILED TO CLARIFY DURING FINAL PRESCRIPTION REVIEW. BELIEVED THAT THE DIRECTIONS SHOULD HAVE READ TO TEST TWICE DAILY, BUT THIS WAS NOT CONSISTENT WITH OTHER PRESCRIPTIONS FOR TESTING SUPPLIES (LANCETS AND ALCOHOL PADS). ISMP, 5200 BUTLER PIKE, PLYMOUTH MEETING, PA 19462 I PHONE: 215-947-7797 I EMAIL: [email protected]. SUBMISSION ID: (B)(4). REF REPORT: MW5155519.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
298893 ALCOHOL PAD PAD, ALCOHOL, DEVICE DISINFECTANT LKB UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown