Ampules still being used, Ouch! - page 5

I have opened several of these little stinkers and hate it every time. I use a 2x2 and have always broken the top away from me. Well, I opened a defective one last night! The top came off and... Read More

  1. by   OLIVIALEN
    Quote from TJPalone
    we use dilaudid that is the big one at my hospital
    We have dilaudid in ampules too where I work. I am at a physicians office and I hate opening these. I am always nervous of a cut! We have this in 4 mg and always get an order for 2mg. I always have to waste 2mg so why do they order it this way? Seems like a waste of money to me. I guess it may be cheaper because we are owned by a large hospital and they order it from them, but if you waste 2 mg every time doesn't seem cost effective. I have had the same thought of glass shards too, pulling up to give IM. I always look very carefully but it has crossed my mind that it could get in there if not carefully pulled up.
    Olivia CMA
  2. by   Hoozdo
    Quote from michelle126
    I haven't seen them in years! Sooo what meds are still coming in them?
    I think the last thing I used was phenergan?
    Fentanyl and metropolol come in amps and I deal with them multiple times a day. My first day as a new grad nurse I sliced my middle finger right open from an amp of Fentanyl.......amp did not break as planned.

    My method for opening now is to grab about 6 paper towels, double and triple them up, and then break. The alcohol pad is not enough protection for me; neither is a 2x2 or 4x4!
  3. by   teenynurse
    Quote from OLIVIALEN
    We have dilaudid in ampules too where I work. I am at a physicians office and I hate opening these. I am always nervous of a cut! We have this in 4 mg and always get an order for 2mg. I always have to waste 2mg so why do they order it this way? Seems like a waste of money to me. I guess it may be cheaper because we are owned by a large hospital and they order it from them, but if you waste 2 mg every time doesn't seem cost effective. I have had the same thought of glass shards too, pulling up to give IM. I always look very carefully but it has crossed my mind that it could get in there if not carefully pulled up.
    Olivia CMA
    we get 2mg and 4mg and then they order 1mg alot and we have to waste it. it is a pain in the rear to waste narcs because u need a witness then you have to find someone to waste it with when we are terribly busy and short staffed
  4. by   teenynurse
    Quote from TazziRN
    I've never cut myself on the 1-ml amps, but the 5-ml ones are vicious!

    I've also harpooned myself with an 18-g filter needle, when trying to draw up several vials of Mannitol in a hurry. Still have a good scar from that one.
    lol that is the truth u must get alot of icp pt
  5. by   mysticalwaters1
    I never had to really deal with ampules except for occasional vit K. Now in the ED I am continually giving the 3 vials of IV lopressor 5min apart and I can't stand ampules!!!! I've only nicked myself once and ALLWAYS had a difficult time breaking them open. I was taught use alcohol pad to do it but it was so sliperaly. Finally I just use 2x2 or even a 4x4 acutally and instead of grabbing and pushing it away from my face I place the ampule where it should break on the center of my thumb and they break much easier for me and evenly than ever before. Don't know if that helps. Others said deffective ones so maybe soon I will slice my thumb, ow! And I play flute so I can't STAND when I injure my hands even really dried hands!
  6. by   ltg623
    I use a alcohol prep still in the wrapper. The wrapper is alot stronger than a 2x2 and acts as a shield between you and the glass. We use quite a bit of Nubain in our ER and it still scares me to death everytime I have to open an ampule. I hate them !!!
  7. by   manna
    We have a ton of meds still in ampules - morphine 10mg, demerol 24, 50 and 75, phenergen, metoprolol, phenergan, dig, nipride, etc. The list goes on and on.

    It never fails, I cut myself every darn time! Hate those darn things!
  8. by   AgentR
    Our Vit K for babies is in ampules. Ugh. Hate them. I've already gotten myself once, and I've only been a nurse for 3 months. I always use an alcohol pad in the wrapper, too.
  9. by   jeffrey_rn
    I guess it's just a matter of time (and lawsuits). It will only take one incident where a nurse cuts a finger on an ampule of phenergan, has to have the finger amputated (phenergan is notorious for eating away subcutaneous fascia) and calls the lawyer. Then and only then will ampules shelf life expire.
  10. by   Dakkon76
    Quote from abu1030
    I probably should have received a few stitches myself but I just did not feel like running down to the ER in the middle of the night. The steri-strip seems to be holding things together for now.
    I say go to the ER for stitches next time it happens. A few write-ups of this incident may prompt some change faster than any other means
  11. by   greatshakes
    Must be different in Oz. last time I was at clinical all the morphine, pethedine and heparin plus some I can't remember, were in ampoules. It hasn't changed here has it?.
  12. by   ukrn2ca
    The uk NHS uses ampoules for almost everything, I guess it must be cheeper to produce things in ampoules. On our ward we must have at least one nurse every day cut a finger on those blasted things. I cover them with inside of the syringe packaging before snapping, it's not fool proof but does offer some protection.
  13. by   RobCPhT
    Some meds still require storage in ampules. You can get disposable ampule breakers from the pharmacy. They cover the top completly and catch the glass. Inexpensive too.

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