IV room practice - Decapper

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

3 posts / 0 new
Last post
Bridget Gegorski
Bridget Gegorski's picture
Offline
Last seen: 11 months 2 weeks ago
Joined: 09/19/2014 - 14:47
IV room practice - Decapper

Hello,

I am inquiring about a specific IV room practice. We have a technician who likes to use the Decapper Pliers to remove the top rubber stopper portion from the IV vial when preparing IV products in the hood. And a pharmacist who is vehemently against this practice.

The tech is effectively turning the vial into an ampule, and the vial is used for a single dose. However, it does add an extra step to the compounding process and creates an open system (even if it is being done in the hood).

I cannot find any articles in support or against this practice. Does anyone have any information or an opinion in regards to this?

(here is a link to the item if you are unfamiliar with it: http://shop.gohcl.com/default.aspx?page=item%20detail&itemcode=7773 )

Bridget Gegorski, Pharm.D.
Medication Safety Officer
University Hospitals Office: 216-983-1307
11100 Euclid Ave Fax: 216-844-3052
Cleveland, Ohio 44106 Mail Stop: WRN 5006
Bridget.Gegorski@UHHospitals.org