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.

Has anyone attempted to address the issue of delayed or omitted meds (mostly antibiotics) due to nurses forgetting to activate or reconstitute AddVantage/ActBag/duplex bags? I doubt we would ever go back to pharmacy mixing these. Are there any published recommendations? I'm especially concerned about first doses and sepsis patients, etc. Thanks