Labeling Pitocin

  1. We recently had a consultant visit to help us prepare for a future JCAHO visit. One important focus is Medication Management- she said it was necessary to mark (on the label ) every time a change is made in the dose (titration) of an IV medication - such as Pitocin- we usually titrate every 30 minutes - I asked her if the info was documented on the bedside chart if this was OK and she said it still needed changed on the bag. Are others doing this? Has anybody gone through the JCAHO survey and have this be an issue? Also are others mixing Pitocin infusions (for inductions) in L & D or having pharmacy do this?
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  2. 7 Comments

  3. by   CA CoCoRN
    We've gone through JCAHO successfully and this was not an issue. We have our bags labeled 5 units in 500 ml or 10 units in 1L (which ever is applicable) and this amounts to a certain number of mU/ml when the dose is titrated up or down. It's an easy calculation. It's not necessary, that I'm aware of, to label the bag with the formula.
    That's not done with MgSO4, eg 20gm in 200 ml = 1gm/10 ml. That's a 'duh' equation. Same with Dopamine, Potassium, etc. Formulas are not on the bag, but the solute with the amot of solution.
  4. by   canoehead
    That's psychotic, can you write on the bag "titrating, see chart" ? And maybe leave a clipboard at the bedside?
  5. by   L&D_RN_OH
    Quote from CA CoCoRN
    We've gone through JCAHO successfully and this was not an issue. We have our bags labeled 5 units in 500 ml or 10 units in 1L (which ever is applicable) and this amounts to a certain number of mU/ml when the dose is titrated up or down.
    We do the same, then chart int he bedside chart when the dose/rate is changed. Not on the bag. And we mix our own pitocin infusions.
  6. by   SmilingBluEyes
    I annotate "Pitocin, 20 units, Debbie, ____ RN, date/time and titrated per protocol" on my orange med labels..... ...

    It seems abundantly clear anyone could see what the rate is on the LABELED line and pump of the IV that contains pitocin (per protocol we HAVE to label these as well as the bag hanging). I would have to think this is best in the way of efficiency and clarity. I would also think constantly changing labels would be messy as well as time-consuming. We have a survey coming in the near future; it will be interesting to see what they have to say then.
  7. by   TammyWilson808
    Quote from SmilingBluEyes
    I annotate "Pitocin, 20 units, Debbie, ____ RN, date/time and titrated per protocol" on my orange med labels..... ...

    It seems abundantly clear anyone could see what the rate is on the LABELED line and pump of the IV that contains pitocin (per protocol we HAVE to label these as well as the bag hanging). I would have to think this is best in the way of efficiency and clarity. I would also think constantly changing labels would be messy as well as time-consuming. We have a survey coming in the near future; it will be interesting to see what they have to say then.
    Aloha,

    We also have to label our bag containing Pit (usually 20 units titrate per protocol), our line and the pump. We are being JACHO surveyed in June---those are the standards of practice we are held to.

    Personally I think having to annotate titrate changes on bag is not necessary but it is dependentupon your facility's dictates---

    Aloha!
  8. by   Jemma
    Quote from TammyWilson808
    Aloha,

    We also have to label our bag containing Pit (usually 20 units titrate per protocol), our line and the pump. We are being JACHO surveyed in June---those are the standards of practice we are held to.

    Personally I think having to annotate titrate changes on bag is not necessary but it is dependentupon your facility's dictates---

    Aloha!
    We went through a mock survey with the new tracer method- it's going to be quite different from the past. Please let me know how your survey goes. One thing that came up was having the pharmacy mix the Pitocin for inductions/augmentations. Does your nursing staff mix it or the pharmacy?
    Is your pharmacy open 24 hours?
  9. by   L&D_RN_OH
    Quote from Jemma
    Does your nursing staff mix it or the pharmacy?
    Is your pharmacy open 24 hours?
    We have a 24 hr pharmacy, but....... our protocol is to start Pitocin within 30 minutes for a scheduled induction. By the time the pt is admitted intothe computer system, the orders placed by the support tech, and the order filled by pharmacy, it would be a heck of alot longer than that. We always mix our own.

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