Greetings. We prepare bagged hemorrhage kits for our busy L&D and place in the Omnicell refrigerator. Kits are overridable. One kit is removed for almost every patient. Our problem is that a lot of the kits are not properly returned to pharmacy. We find them on anesthesia carts, med counters or tubed down to pharmacy with no patient label. Carboprost and methergine need refrigeration but can be kept out of the fridge for several days. We are experiencing a lot of waste because we cannot verify when the kit was removed and thus verify that product is still good to use. Carboprost and methergine have been on our shortage list which makes the situation worse.
Our process is to use the label that prints from Omnicell and place on the kit as it is removed. The nurse gives kit to the Anesthesia provider and the provider returns the kit to the nurse at the end of the case if not used. Rn tubes labeled bag down to pharmacy who checks kit and reprocesses for restocking into Omni. Process is great but often not followed :(
I am interested in ideas that would cut down on the waste, both of time and product. How are your hospitals handling PPH or hemorrhage kits in general.