Fentanyl 50mcg/mL 50mL vials

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Maria Russo
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Joined: 12/06/2014 - 19:42
Fentanyl 50mcg/mL 50mL vials

Hello,
Our current standard concentration for fentanyl continuous infusion is 50mcg/mL. We have nurses spike the 50mL vial and place such in a locked box attached to the IV pole as the medication is infused. Patients typically consume one or more vials. Recently Pharmacy has been told that the rubber stoppers fall into the vial but not all the time. Has anyone else experienced a similar situation ? Does anyone have a remedy for this problem?
Comments and suggestions welcome.
Regards
Maria T. Russo PharmD
Director of Pharmacy
Orange Regional Medical Center