nate the risk of an unintended infusion error. Each of the 5 locations
has the recommended 36 20 mg vials of dantrolene on hand to deliver
the recommended initial dose of 2.5 mg/kg. (If you choose to stock
Ryanodex, injectable suspension of dantrolene, keep 3 250 mg vials
on hand.)
To help keep the vials organized and to ease grabbing the needed
supplies during a MH event, we created trays that hold 12 vials of
dantrolene, sterile water vials, vial spikes and 12 60 ml syringes. We
placed this tray in the same drawer on each cart with big red arrows
pointing to the "dantrolene" label on the outside of the drawer.
5. Make staff training easy
Standardization enhances efficient responses when things go side-
ways. Once we standardized our carts, we developed some tools for
staff education. We included a picture of each drawer in our online
self-learning module. Each year, staff completes this module to stay
up to date on what's inside the MH cart. We hung MHAUS posters on
the side of the cart that list the steps and the dosage of dantrolene
administration. We also placed a small binder on each cart with a
copy of the dantrolene dosage chart, the MH treatment algorithm and
a few other helpful documents.
OSM
3 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 8
Ms. Gallaga (CGallaga@phoenixchildrens.com) is a clinical education spe-
cialist for Phoenix (Ariz.) Children's Hospital.
