Best practice is using pharmacy services when possible to minimize immediate-use compounding. While quality and safety programs exist within other health care professions, pharmacy knowledge and involvement in these activities ensures compliance with best practices and also provides an opportunity for pharmacy to take ownership of the complete medication use process. This is in contrast to incompatibilities that can be visually observed. It should be a thorough hand washing, not just a quickie. Perform the following steps A. Squeeze the bag until the vial is half full of solution.
The central pharmacy has quality assurance checks, including pharmacist verification of indication, dose, and patient-specific parameters to ensure safety prior to administration as well as verification of sterility and stability of the products dispensed. · Do not keep multi-dose vials in the immediate patient treatment area and store in accordance with the manufacturer's recommendations; discard if sterility is compromised or questionable. This extends the stability of the medication and may eliminate the need for refrigerated shipping. When you partner with Baxter, you have all of the drug delivery options you need from just one company. In 2007, the Centers for Disease Control and Prevention published a guideline for preventing transmission of infectious agents in the health care setting.
Thus, access to pharmacy services 24 hours a day, 7 days a week is essential to providing safe, high-quality patient care. On the end of the line that goes into your vein. However, reliable, published stability information is sometimes lacking for many types of drugs. Transmission of pathogenic bacterial organisms in the anesthesia work area. Practices that increase pharmacy presence in patient care areas and decrease time to administration of medications compounded in the pharmacy decrease the need for immediate-use compounding.
Using a vial mate items can be shipped un-reconstituted and you can put them together safely in your home. First gather all materials together for your infusion. This extends the stability of the medication and may eliminate the need for refrigerated. Our goal is to assist you in creating the right blend for your facility - with safety, efficiency and compliance in mind. To activate, align the ridges on the blue and white portions of the device then push the blue stem into the white to release fluid from the bag.
Similarly, compatibility of additives with large-volume infusions may not be evaluated and ensured in the setting of immediate-use compounding. Because of compelling patient-care needs, a pharmacist may be unable to stay within the approved labeling and product guidelines stated in the package insert. You will see a drop of fluid come out of the end of the line. · Infection control practices for special lumbar puncture procedures: wear a surgical mask when placing a catheter or injecting material into the spinal canal or subdural space ie, during myelograms, lumbar puncture, and spinal or epidural anesthesia. Check the medication, solution or fluid label for correct patient name, accurate drug, dosage, and expiration date. Needles, cannulae, and syringes are sterile, single-use items; they should not be reused for another patient nor to access a medication or solution that might be used for a subsequent patient. Using a vial mate items can be shipped un-reconstituted and you can put them together safely in your home A vial mate connects the drug to the diluent saline or D5W so that shelf life is extended, and the drug can be shipped without refrigeration.
Assigning Beyond Use Dates Beyond use dates are different from expiration dates. Clamp the line when the first drop comes out and there is no air in the line. It should take about as much time as it states on the prescription label. Baxter offers one of the most comprehensive drug delivery portfolios in the industry. Wash hands again, after you have assembled everything. Many times the published references do not evaluate exactly the same formulation, or the study did not examine the stability for a long enough period of time.
Certain medications have a short stability. Potency and sterility of anesthetic drugs in obstetric anesthesia. Refer to the complete Instructions for Use. What is a vial mate? For the safe and proper use of the devices referenced within, refer to the complete Instructions for Use or the appropriate manual. Wash hands as you were instructed by your nurse or Doctor.
Through our print, digital and live events channels, Pharmacy Times® provides clinically based, practical and timely information for the practicing pharmacist. Microbial contamination of syringes during preparation: the direct influence of environmental cleanliness and risk manipulations on end-product quality. Vital Mate Infuserve America Vital Mate. Refer to the complete Instructions for Use. Expiration dates are required on commercially manufactured products and are determined after extensive study of the product's stability.
The vial and bag can be attached without activation, allowing reconstitution at the point of administration. Saline bag with a Vial Mate Attached. Flush the access route with saline as your nurse instructed you. Complete the attached Customer Reply Form and return it to Baxter by fax or email. Though vastly different, these tools share a basic truth. You should check with Infuserve America before you start your procedure to get the exact make of the connector you will be using. Pharmacists should serve as champions to educate staff on proper utilization of immediate-use compounding, including the use of single- and multi-dose vials in patient care areas.