Confused about Carpuject??? - pg.3 | allnurses

Confused about Carpuject??? - page 3

So why are Carpujects used? Is it to help control drug diversion? Is it somehow safer? I am so confused about the purpose of them because it doesnt change the way you administer the med. If its... Read More

  1. Visit  That Guy profile page
    0
    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.
  2. Visit  CCL RN profile page
    0
    Quote from missy--kay
    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.
  3. Visit  RaineyRN profile page
    0
    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!
  4. Visit  evolvingrn profile page
    0
    Quote from CCL RN
    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.
  5. Visit  CCL RN profile page
    0
    Quote from evolvingrn
    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.
  6. Visit  Squirlynurse profile page
    0
    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.
  7. Visit  IVRUS profile page
    0
    Quote from Squirlynurse
    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?
  8. Visit  ArtClassRN profile page
    0
    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.
  9. Visit  AnnieOaklyRN profile page
    0
    Quote from RaineyRN
    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
  10. Visit  ArtClassRN profile page
    0
    Quote from HappyParamedicRN
    That is absolutely disgusting! One call to pharmacy will get you a whole bag of carpujects
    Some goofballs decorate their carpujects. Oh well.
  11. Visit  Catzilla profile page
    2
    At a hospital I worked for, Carpujects were single patient use. No hoarding, no bedazzling. We had to label those suckers and toss them when the patient was discharged.
    icuRNmaggie and GemTwist like this.
  12. Visit  akulahawkRN profile page
    1
    I've used both the Tubex and Carpuject systems. Once you get the hang of it, they're pretty darned fast... I've got a couple of carpuject holders around and they're quite handy when you need one. I do like the flexibility you have with the carpuject system. Somewhere I think I might still have a tubex holder, but those pretty much went the way of the dinosaur a long time ago. I don't recall having anything other than an attached needle with the tubex system and there being less flexibility.

    Long live carpuject!
    icuRNmaggie likes this.
  13. Visit  Squirrely18 profile page
    1
    Well, you learn something new everyday. I had no idea what a carpuject was, so I looked it up. So that's why morphine comes in those skinny vials. The first time I gave morphine was during my preceptorship in nursing school. I thought you were supposed to inject air into the vial, so I blew the end off the vial and was terrified. I thought to myself, please let the morphine still be in there and thankfully it was. Whenever I give morphine or dilaudid I use a syringe to draw it up and then draw up 2 ml of saline to dilute it, that's how I was taught in school.
    icuRNmaggie likes this.


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