If you are a registered nurse currently working with/delegating/supervising “unlicensed healthcare personnel” (UHCP) also known as “unlicensed assistive personnel” (UAP), would you be interested in answering a short survey related to the use of unlicensed healthcare personnel in the provision of infusion therapy? The survey is open to US registered nurses from all healthcare settings who work…
Q: Can medical assistants in office based infusion settings insert peripheral IVs and administer IV medications? A: This is a question I get weekly. I have posted a previous blog about this topic and replied privately to individuals asking the question. But I think it’s time to post my response again: Medical assistants (MAs)as defined…
A nurse colleague started a new job as an infusion nurse for a physician office based practice offering infusion services (non chemo) to their patients. After a few days, the nurse left the new job for the following reasons: Another RN in the office routinely mixes IV medication for the infusion nurses to administer. The IV medication…
A twitter nurse colleague (@chemosabe) shared an interesting article recently: Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience Johanna I Westbrook, Marilyn I Rob, Amanda Woods, Dave Parry BMJ Qual Saf 2011;20:1027-1034 Published Online First: 20 June 2011 The objective of the study was to…
It doesn’t take a rocket scientist to know that when you don’t have enough of a good thing, bad things can happen. This is the case with the on-going drug shortages and the resulting potential issues that affect the care we provide and patient safety concerns. The ISMP (Institute for Safe Medication Practices) recently released…
Nimodipine is a medication intended to be given in a critical care setting to treat neurologic complications from subarachnoid hemorrhage and is only available as a capsule. The U.S. Food and Drug Administration (FDA) is alerting healthcare professionals that nimodipine capsules should be given ONLY by mouth or through a feeding tube (nasogastric tube). This…
Please note this urgent message from the National Alert Network (NAN) for Serious Medication Errors. The National Council for Medication Error Reporting and Prevention (NCCMERP) is distributing a NAN alert to warn practitioners about the potential for serious or fatal errors with epinephrine, caused by the current shortage of epinephrine emergency syringes. EPINEPHrine emergency syringes…
I have always speculated that medication errors and near misses outside of hospitals and acute care settings have been under reported or perhaps never reported at all. Here’s a case that I was made aware involving an RN who added a medication to a 250mL bag of Sterile Water(unintentionally) and administered by infusion via a…
