Activity analysis of pharmacy-directed drug-administration technicians.

The percentage of time required by drug-administration technicians to perform predefined activities was determined using a work-sampling technique. Two trained pharmacists used random-sampling techniques to estimate the amount of time technicians spent performing activities in each of four major work categories. These categories, which included drug administration and related activities, clerical, communication, and "other," were divided into 24 activity elements, and technicians were randomly observed during the first or second work shift (8 1/2 hours) for 20 days in a one-month period.

Managing employee apprehension toward handling cytotoxic drugs.

A strategy for dealing with employee apprehension about handling cytotoxic agents without a biological safety cabinet is described. Available evidence in the literature concerning the health risks of handling cytotoxic drugs was reviewed with employees. A committee was appointed to evaluate the institution's needs and current practices for handling cytotoxic agents.

[Associated placenta praevia and placenta accreta. Clinical case].

Personal experience of a case of placenta praevia and accreta is reported. In agreement with other authorities, it is thought that since the condition is not immediately apparent, it should always be suspected when hemorrhaging occurs in the 7th-9th month of pregnancy. It is also confirmed that rapid diagnosis and radical treatment will generally prevent serious problems.