We are trying to create a consistent and evidence-based approach to
procedural pain in the PED. As part of this, we are looking for ways to pre-
prepare 1% buffered lidocaine for subcutaneous bleb prior to IV palcement.
Currently our nurses have to mix it themselves each time, which creates more
work, less efficiency, and needless-to-say some resistance from the staff in
pushing this inititiative forward. I'd like to have the pharmacy "batch" the
lidocaine in pre-filled syringes to help alleviate these issues. Does anyone
have experience with this approach they could share? specifically:
§ single dose vials/syringes or multidose vials
§ storage requirements / shelf life
§ expiration dating
- any forseeable or major JCAHO issues.
Also, has anyone run into problems storing LET or ELEMAX in their triage area.
Is this a JCAHO violation?
Any an all input would be great!
Darwin Koller, MS, MSCE
T.C. Thompson Children's Hospital, Emergency Department
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