Confused about Carpuject???

MN-Nurse, ASN, RN · Oct 9, 2011

I use the 'ject for 99.9% of medication administrations. I work on an impatient hospice unit and give my fair share of morphine, Dilaudid and Ativan!! I have at least 2 in my pockets at all times. The pharmacy keeps plenty of them stocked for us!

When I was a home health and hospice aide I would occasionally fill in at the hospice residence my company ran. The LPN was like Wyatt Earp with those bad boys.

evolvingrn, BSN, RN · Oct 9, 2011

Its just super fast ....my vial was defective the other night so i had to draw it out and its a a minute or two more work ....plus your wasting yet another syringe and needle.

That Guy, BSN, RN, EMT-B · Oct 10, 2011

I refuse to use them. I draw ALL those up into syringes. I cant dilute meds in them without blowing the back end off/providing enough NS for my likings.

CCL RN, RN · Oct 10, 2011

I use the 'ject for 99.9% of medication administrations. I work on an impatient hospice unit and give my fair share of morphine, Dilaudid and Ativan!! I have at least 2 in my pockets at all times. The pharmacy keeps plenty of them stocked for us!

But....you're diluting the Ativan, correct? So you shouldn't used a carpujet for that med.

RaineyRN · Oct 10, 2011

Ended up with a tiny narcotic shower as a sn....didn't realize the stopper was rubber, and pushed air in before I drew up....lol....my preceptor about died laughing!

evolvingrn, BSN, RN · Oct 10, 2011

But....you're diluting the Ativan, correct? So you shouldn't used a carpujet for that med.

I have NEVER seen ativan come in a vial for compatiable with a carpujet but you only have to dilute ativan if it is being used in a perphial iv. Picc,Pac ect...does not not need to be diluted.

CCL RN, RN · Oct 11, 2011

I have NEVER seen ativan come in a vial for compatiable with a carpujet but you only have to dilute ativan if it is being used in a perphial iv. Picc,Pac ect...does not not need to be diluted.

I've never seen it either, which is why I commented.

If your giving it via a picc, hopefully it's in a 10cc syringe. In that case, I still dilute it. It's so thick that I like to inject extra saline into the vial (using a pre filled saline flush) and make sure my pt gets every single drop, lol.

Squirlynurse · Jan 9, 2015

So I got in a debate with a paramedic the other day. They had 4mg/ml carpujet of morphine they dosed the patient and then were telling me there was 6 mg in the vial, because there is 2mg in 0.5mg, Any ideas where they would have got this idea? Obviously theres only 4mg in it.

IVRUS, BSN, RN · Jan 12, 2015

So I got in a debate with a paramedic the other day. They had 4mg/ml carpujet of morphine they dosed the patient and then were telling me there was 6 mg in the vial, because there is 2mg in 0.5mg, Any ideas where they would have got this idea? Obviously theres only 4mg in it.

Do you mean that there is 2mg in 0.5ml?

ArtClassRN, ADN, RN · Jan 13, 2015

Carpujects save time and material waste. I am equally adept at drawing up or using the carpuject and I'll take the latter any time.

No effect on diversion. The Houdinis that divert csn do it no matter the system.

AnnieOaklyRN, BSN, RN, EMT-P · Jan 14, 2015

Accidentally threw away my preceptor's Carpuject into the sharps container in nsg school... she actually convinced the housekeeper to open the bin up, and fished it out with a pair of hemostats... naughty-naughty!! I was SO embarassed!!!! LOL

That is absolutely disgusting! One call to pharmacy will get you a whole bag of carpujects or better yet just draw it out of the tube with a normal needle and syringe like most people do. That is just risking patients and staff for no reason, the thought of this makes me want to vomit. I hope this nurse NEVER cares for myself or my family!

HPRN

ArtClassRN, ADN, RN · Jan 14, 2015

That is absolutely disgusting! One call to pharmacy will get you a whole bag of carpujects

Some goofballs decorate their carpujects. Oh well.