Re: JCAHO strikes again
From: art fougner, md (evsono@pipeline.com)
Mon Dec 6 10:25:31 2004
So how much micromanagement are you willing to swallow? Also, would
violation of what seems to be overreaching place the hospital in a
precarious state? Why not alert the state and county medical societies
as well as your acog district?
art
At Mon, 6 Dec 2004, Braun, R. Daniel wrote:
>
>I received the following message from our pharmacy today:
>
>The Joint Commission has issued guidelines that restrict the admixture
>of solutions in patient care areas. Nursing will no longer be able to
>add oxytocin to IV bags. The Pharmacy intends to respond to these
>guidelines by purchasing premixed oxytocin bags. We need your input to
>help us select a single premixed bag that is consistent with current
>protocols. I have placed a copy of the available solutions in your
>mailbox.
>
>The following was my reply:
>
>WHAAAAAAAAAAAAAAAAAAAAAAATTTTTTTTTTTTTTTTTTTTTTT???????
>How ridiculous can they get??
>I would say 20 UNITS in 1000 MILLILITERS and 40 UNITS in 1000
>MILLILITERS for Post partal use.
>AND 10 UNITS per 1000 MILLILITERS for augmentation or induction of
>labor
>AND 5 UNITS per 1000 MILLILITERS for augmentation and induction of
>labor.
>
>All of the above should be available in NORMAL SALINE, 5% DEXTROSE in
>WATER, 5% DEXTROSE in NORMAL SALINE, LACTATED RINGERS, and 5% DEXTROSE
>in LACTATED RINGERS.
>That works out to about 20 diferent types of of OXYTOCIN bags
>Do we trust the skill of the nursing personnell to not get those mixed
>up?????
>I mean if they can't draw 10 UNITS from a vial and inject it into 1000
>MILLILITERS fo normal saline, how can we trust tehm to pick up the right
>bag?????????????????????
>
>Of course all of them need to be available so that we can get the right
>one when we need it
>
>Any printable comments out there?
>
>We're from the JCAHO, and we're here to help you.
>
>R. Daniel Braun, MD FACOG
>
>Professor of Clinical Obstetrics and Gynecology
>Department of Obstetrics and Gynecology
>Indiana University School of Medicine
>Indianapolis, Indiana
--
art fougner, md
ich bin ein New Yorker
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