Fentanyl Admin PACU orders/on floor

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 jrufo@ismp.org

1 post / 0 new
Mark Russo
Mark Russo's picture
Offline
Last seen: 1 year 12 months ago
Joined: 10/26/2020 - 14:55
Fentanyl Admin PACU orders/on floor

I came across a practice during control drug audits that I was unaware was occurring. A PACU nurse will transport a patient to med/surg floor, carrying a 'labeled' syringe of fentanyl that was being used in PACU. They may use the fentanyl to administer to the patient after transport if the patient is in discomfort due to the transport. They are using the PACU orders for the fentanyl. Their comment is they are still considered a PACU patient until handoff is complete. A couple of concerns with this, but thought I'd post here to see if this is an accepted practice that I was unaware of.
Thanks everyone,
Mark