Protect From Light-Epinephrine infusions

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org

2 posts / 0 new
Last post
Julie Botsford
Julie Botsford's picture
Offline
Last seen: 3 weeks 6 days ago
Joined: 08/07/2009 - 10:54
Protect From Light-Epinephrine infusions

Two questions for group:
1. Do you require Protect From Light bag over epinephrine continuous infusions? (See recent ISMP Medication Safety Alert Feb 2024 Issue 3 and linked Hospital Pharmacy
2023, Vol. 58(5) 448–475 for discussion about addressing PFL during the different stages of medication processes.)

2. If you utilize PFL bags, has anyone found availability of ones that offer enough visibility to be able to read easily and see fluid volumes?

We have had two recent events in which epinephrine drips ran dry during transition between ED and ICU. Of course there were many variables involved including proper programming of VTBI in the pump, hand off communication, etc. The PFL bag certainly played a role in the visibility aspect. We currently utilize 5 mg/250 mL (20 mcg/mL) and are considering adding an additional double strength concentration. Both of these concentrations are listed in the ASHP standardize for safety document.

thanks in advance for your input!