USP 800 and Fosphenytoin, Oxytocin, etc

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
Karin Terry
Karin Terry's picture
Offline
Last seen: 2 weeks 6 days ago
Joined: 02/02/2009 - 08:13
USP 800 and Fosphenytoin, Oxytocin, etc

I am hoping someone out there has had an epiphany on how to handle "STAT" drugs that are straight draws, like fosphenytoin and oxytocin, with USP 800 regulations. If you are allowing the nurse to draw them up, how are you documenting that in your Assessment of Risk? If you are having pharmacy draw them up, how are you communicating that with OB, Neuro, ED, etc?

Over half of our 13 hospitals have non-24 hour pharmacies. We are trying to figure out how to have a consistent process in all hospitals at all times...which we realize is a tall order.

We are struggling with weighing timely patient care vs nursing protection from hazardous drugs.

Thanks so much for any and all insight!
Karin Terry
OSF HealthCare
Peoria, IL