How high is too high for pitocin - page 2

by htrn 19,922 Views | 13 Comments

I am trying to find references for guidelines on what the upper limit of pitocin is for both scarred and unscarred uterus's. It is not unusual to run pitocin at more than 50-60 milliunits even on VBACs and without IUPCs. This... Read More


  1. 0
    Is your facility accredited? How could you not have a Policy on the drug most commonly used in labor? Not only have you to be concerned about the mom, where is the baby in all this? What other Policies have you not got? Do you document that despite hyperstimulation x 1 hour, Pitocin infusion was increased to 50 mU/min by RN. and Doc.Doe informed? What is the baby doing during hyper stim-hypoxic may be? I really do not think that you appreciate how serious this violation is.

    Your manager-how knowledgable is he/she? Maybe he/she has nothing to lose. What will he/she do when there are law suits and he/she can no longer keep you all happy?

    There seems to be the need to review the systems that are in place--Policies, people, etc. and do some major revamping. What does your Mission Statement say? I would not be caught dead working in such a danger zone.
  2. 0
    Scary to think that your manager is more interested in keeping people happy more than keeping patients safe. The use of pitocin that high is insane. As someone said earlier, if it isn't working at 20mu..then it certainly isn't gonna work at 50mu. The receptors are sooo saturated by that time, that all you are going to get is a hemmorhage afterwards.

    There must be something on the ACOG site that has some sort of guidelines for pitocin practice. I haven't had the chance to go there and research it.

    Gosh...I can't even begin to imagine pit running at 180cc/hr. Its a wonder your patients aren't insane from water intoxication. Its so frustrating, isn't it?

    I wish you luck. I think one of the policies that every hospital should have is that MD's are NOT allowed to touch IV infusion pumps...not no how...no no where. (just my two cents)
  3. 0
    Quote from babyktchr
    Scary to think that your manager is more interested in keeping people happy more than keeping patients safe. The use of pitocin that high is insane. As someone said earlier, if it isn't working at 20mu..then it certainly isn't gonna work at 50mu. The receptors are sooo saturated by that time, that all you are going to get is a hemmorhage afterwards.

    There must be something on the ACOG site that has some sort of guidelines for pitocin practice. I haven't had the chance to go there and research it.

    Gosh...I can't even begin to imagine pit running at 180cc/hr. Its a wonder your patients aren't insane from water intoxication. Its so frustrating, isn't it?

    I wish you luck. I think one of the policies that every hospital should have is that MD's are NOT allowed to touch IV infusion pumps...not no how...no no where. (just my two cents)

    If your manager is not receptive to information regarding the safe administration of Pitocin, perhaps your hospital's risk manager would be.

    Another thought, what about contacting your state regulatory agency or JCAHO. They supposedly exist to protect patient safety.

    Good luck.
  4. 0
    Thanks for all the responses. I am going to be writing a memo to my manager today and give it to her tomorrow. I will also let her know that I was advised by an expert witness in perinatal cases that this is an undefendable practice, esp when everytime someone from our department attends a seminar and mentions this subject we all get the same reactions as everyone here has. I will also tell her that I have to bring this to the director of nursing's attention and the attention of the risk manager.

    I discussed this issue with one of our more seasoned and politically astute (in the hospital, anyway) and she agrees that this is an insane practice, but that it will never change. I am on the policy and procedure committee at the hospital and will be bringing this to their attention as well. I have not had an induction with this amount of pitocin for a while, but it still happens and it needs to stop. I worked to hard for my license and care about my patients too much to lose it over something this crazy. I may end up losing my job over this.

    Anyway, thanks for the advice, comments and links. I will post a reply and keep you informed of my progress. At this point, prayers would be appreciated.

    Me :uhoh21:


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