Kcentra Dose Rounding

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. 

7 posts / 0 new
Log in or register to post comments
Last post
Tue, 01/28/2025 - 15:42
#1
Ashton Coker
Ashton Coker's picture
Offline
Last seen: 1 day 18 hours ago
Joined: 01/23/2025 - 13:40
Kcentra Dose Rounding

Hello everyone,

We are reviewing our ordering and dispensing process for Kcentra. Hoping to hear what the current practice is at other institutions.

1.Do you round the dose to the nearest vial size according to the nominal vial range (ex: 500 U range) or actual units of factor IX (ex: 569 units)?

2.If changing the dose to the actual units of factor IX, how does this work for areas without 24hr onsite pharmacist coverage? Are nurses entering the actual factor dose on the MAR or relaying the actual units of factor IX on the vial to the pharmacist prior to order verification/administration?

3.Are you able to charge a FLAT FIXED amount for vials?

Tags: 

Top