OK...this is one of those things that really chap my hide!!!
I can remember being taught in Nursing School to "lip the bottle" meaning prior to using the contents of a bottle of solution, some of it should be poured across the rim of the bottle sa as to decontaminate the outside of the bottle. I have always thought that this was one of those silly Nursing Wives Tales because:
- If the lip of the bottle is contaminated, then the contents of the bottle should be considered contaminated as well...
- Simply pooring some liquid across a contaminated field will not render it clean or sterile (remember...we have to use soap and friction to properly wash our hands)...:trout:
What do you folks think?
Jun 20, '07
I work in the ER, and I just usually pull out a new bottle of sterile saline for irrigation for each patient. We have to charge them for it anyway, why not give them their own sterile bottle?
Another way that I pour it sometimes is use a new 18 gauge needle to break the foil seal, not remove it completely, and just squirt the saline directly through the hole I made.
As far as multi-dose bottles of other meds, the only thing I can think of that we actually use is Motrin elixir for peds patients. Everything else is packaged for single use.
Last edit by ND76 on Jun 20, '07