RN's allowed to reconstitute and administer antibiotic dose for pediatric patients?

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Mon, 07/12/2021 - 12:44

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Lindsey M Eick

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Last seen: 3 months 1 week ago

Joined: 07/12/2018 - 14:13

RN's allowed to reconstitute and administer antibiotic dose for pediatric patients?

Hi All
We have found that we are not meeting the CMS guidelines on getting antibiotics into our pediatric trauma patients within 1 hour for open fractures. Our pediatric antibiotics come from our central pharmacy as patient specific doses in pediatric dilutions unless the peds patient is large enough to get a standard adult dose.

Our peds medication safety committee discussed allowing only the ED to be able to reconstitute and draw up the appropriate dose (there would be a verified order by a pharmacist) but then the discussion grew bigger where other groups are claiming to not be getting their 1st dose antibiotics in time (which is a whole other issue).

Has anyone else had this issue and how did you solve it? Does your institution allow this practice for pediatric patients when the dose is less than the full vial?

Thanks
Lindsey