I'm still orienting in PACU and it ain't easy when your preceptor doesn't think you're good enough to be there becaus the highest critical care experience I have is 2 years in IMC.
One night, we were doing a CABG, and my preceptor asked me if I've hung amiodarone before and I said yes so she gave it to me. I looked at the bag and there was a blue thing attached to it. I asked her what it was. She was shocked and said "Obviously, you haven't hung amiodarone before. This is a filter and Amiodarone needs an inline filter". I was dumb founded.
In the other facility I worked at, we never used an inline filter for amiodarone. Just now, I called their pharmacy and he verified that yes, we do have a protocol for amiodarone iv but we never had to use an inline filter.
However, on the drug books that I've read, it does say to use an inline filter. I'm not about to debate this case to my preceptor but I sure would like to know if it was okay for that other facility to continue hanging amiodarone without an inline filter or not. Or, if this new facility I'm working at is just stuck on the olden' days.
What do you think???
Apr 7, '07
by ZASHAGALKA Pro
Yes, requires an in-line filter.
It is NOT OK for the other place to not use a filter. Legally speaking, should harm result, all the definitions of a valid tort exist in not using a filter: you had an obligation, you failed the obligation, and harm resulted.
A prudent nurse, on the witness stand, would testify to this. I would.
Read the packet insert. Your pharmacy should be able to send you one.
Last edit by ZASHAGALKA on Apr 7, '07