Scanning of diluent for IV push meds?

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Wed, 11/18/2020 - 11:56
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Jeffrey McCarthy
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Joined: 06/11/2019 - 06:10
Scanning of diluent for IV push meds?

Good Morning,

We recently had a significant error where a RN attempted to dilute an IV push medication with sodium chloride but inadvertently grabbed a vial of lidocaine that was mixed in with the sodium chloride. Unfortunately this error made it to the patient. The medication ordered does require diluting prior to administration by IV push.

Does anyone require the scanning of both the IV push medication and the diluent used?

I have reviewed the ISMP guidelines and gap anlaysis reports from last year and did not see anything regarding scanning of diluents being recommended.

Thanks, Jeff

Jeff McCarthy
Southcoast Health

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