I see this was discussed about 2 years ago, but I am wondering if this is a continuing issue for other facilities. Has anyone addressed the issue of delayed/omitted doses of medications due to nurses forgetting to activate or reconstitute duplex bags? We have had several recent errors in which an antibiotic dose was delayed or missed due to the RN forgetting to activate the bag. We have large red auxiliary labels that indicate activation is needed and have sent out education, but these errors have led us to re-evaluate. We currently use the duplex bags for meropenem and ceftriaxone.

I see this was discussed about 2 years ago, but I am wondering if this is a continuing issue for other facilities. Has anyone addressed the issue of delayed/omitted doses of medications due to nurses forgetting to activate or reconstitute duplex bags? We have had several recent errors in which an antibiotic dose was delayed or missed due to the RN forgetting to activate the bag. We have large red auxiliary labels that indicate activation is needed and have sent out education, but these errors have led us to re-evaluate. We currently use the duplex bags for meropenem and ceftriaxone.

I am part of a 500+ bed, urban, academic organization. As far as antibiotic infusions go, we currently only run Zosyn as a primary infusion (run over 4 hours); our other antibiotic infusions are run as a primary/secondary set up. During the normal saline shortage, we ran all antibiotics primary and flushed with a 10 mL flush post infusion. Now that we are able to go back to our primary/secondary set up, we are getting some pushback from nursing.

How does your organization infuse IV antibiotics?