PACU Parenteral controlled substances - single use or secured storage

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. 

10 posts / 0 new
Log in or register to post comments
Last post
Wed, 08/15/2018 - 13:15
#1
Julie A DAmbrosi
Julie A DAmbrosi's picture
Offline
Last seen: 6 days 18 hours ago
Joined: 07/22/2017 - 06:53
PACU Parenteral controlled substances - single use or secured storage

I am exploring the potential of secured storage of controlled substances in our PACUs. Fentanyl, as an example, is often given in increments of 25 mcg or 50 mcg every 5 minutes PRN severe pain. If the RN vends 100 mcg, is it always handled as a single use item or is the remainder conserved in a secure fashion for future increment doses? If yes, how do you ensure integrity in the chain of custody and what processes are in place for reduce the potential for diversion and/or to detect diversion?

Top