Duplex bag Dose Delays/Omissions

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Stephanie Tupper
Stephanie Tupper's picture
Last seen: 2 weeks 1 day ago
Joined: 03/21/2021 - 23:05
Duplex bag Dose Delays/Omissions

I see this was discussed about 2 years ago, but I am wondering if this is a continuing issue for other facilities. Has anyone addressed the issue of delayed/omitted doses of medications due to nurses forgetting to activate or reconstitute duplex bags? We have had several recent errors in which an antibiotic dose was delayed or missed due to the RN forgetting to activate the bag. We have large red auxiliary labels that indicate activation is needed and have sent out education, but these errors have led us to re-evaluate. We currently use the duplex bags for meropenem and ceftriaxone.

Are your facilities still dispensing these bags to be activated on the unit? Has anyone implemented any changes that have helped prevent this issue?

Thanks so much for your help!