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Comfy ORs - June 2014 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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ANESTHESIA ALERT 1 5 0 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | J U N E 2 0 1 4 things well for the other 364 days a year. Here are 20 recommenda- tions to help assure safe medication management within your anes- thesia practice. 1 . Organize carts for easy access. 2 . Be sure to separate look-alike and sound-alike drugs in the cart. 3 . Label all pre-drawn syringes with the industry-standard required labeling, as enunciated by accrediting and CMS overseers. 4 . Be aware of drugs that require refrigeration and those that have a labeled room temperature guideline, such as rocuronium and suc- cinylcholine. Label them with their expiration dates. 5 . Remember that current guidelines say multiple-dose vials should be dedicated to a single patient whenever possible and that they should be discarded in patient-care areas after use. 6 . Never use single-dose vials for more than 1 patient. 7 . Be sure to discard drugs appropriately and make sure discarding of controlled drugs is witnessed in "real time." 8 . No matter how tempting it might be to use it for multiple patients, use each propofol vial for one patient only. 9 . Filter glass ampules with a filter needle. 10 . Make sure your cart is always secured when it's unattended. The controlled drugs within it are the anesthesia provider's responsi- bility. 11 . Don't unwrap syringes until you know you need them. And unwrap them as close to the time of administration as possible. 12 . Use drawn syringes within 1 hour (unless they've been prepared in a laminar flow hood). 13 . When you can use multiple-dose vials appropriately (see No. 5 above) note the expiration date of 28 days (see "Know When OS_1406_part3_Layout 1 6/13/14 11:55 AM Page 150

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