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Do you mix your own pit?

Ob/Gyn   (3,042 Views | 15 Replies)

5,142 Profile Views; 292 Posts

At your institution is your pitocin mixed by the pharmacy? If so, are you allowed to mix your own if you had to?

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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,573 Posts; 119,325 Profile Views

Yes, at every facility I've worked at, we've added our own pit.

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51 Posts; 2,136 Profile Views

Ours comes mixed already but sometimes if we are in a rush and we run out of room temp bags we have to mix it ourselves.

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dariah has 3 years experience and specializes in OB/GYN.

84 Posts; 2,665 Profile Views

Mine always come mixed from the pharmacy or manufacturer. If we run out is the only time I've had to mix my own.

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Mr Midwife has 8 years experience as a BSN, RN and specializes in Maternity.

1 Article; 52 Posts; 5,093 Profile Views

In the UK every unit I've worked in we mix our own Oxytocin. For Labour and Induction we use 40 units made up in the units volume of choice and then titrated to the contractions.

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292 Posts; 5,142 Profile Views

Interesting. I ask because I'm on a unit now where we are absolutely never allowed to mix our own pit, even though we have 10 unit vialsin the pyxis. I had to wait 3 hours yesterday for the pharmacy to bring up mixed bags of pit. At the last hospital I worked they were also premixed by pharmacy but if we ever ran out (which was rare because pharmacy sent up about 50 bags a shift) we were allowed to mix our own. I almost got written up for attempting to mix my own pit. I was just curious as to what other hospitals did.

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Katie71275 has 2 years experience and specializes in L&D.

947 Posts; 15,057 Profile Views

Ours is premixed by pharmacy. I honestly don't know if there is a policy that we can't mix it or not..guess I should look that up. I've added more Pit to the bag before though with no problem.

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Elvish is a BSN, DNP, RN, NP and specializes in Community, OB, Nursery.

3 Followers; 17 Articles; 5,259 Posts; 68,192 Profile Views

Premixed in a 30u/500ml bag....only if we run out in the pyxis and it's emergent do we mix our own. When I first started working there we did it all the time.

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Calinurse4 has 3 years experience and specializes in Perinatal.

315 Posts; 6,927 Profile Views

Premixed 30u/500ml bag. I don't know about mixing our own since I've never had that issue. It's always well stocked on our floor.

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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,573 Posts; 119,325 Profile Views

Is the 30units/500ml then a 2:1 ratio on the pump (ml/hour:mu)? It's been a long time since I've titrated Pit. :)

Wait, that would be a 1:1 ratio, wouldn't it?

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SmilingBluEyes has 20 years experience.

2 Followers; 19,599 Posts; 66,317 Profile Views

Mixing pit on the L/D unit where I worked was abolished years ago. The pharmacy mixes it all and brings it up.

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9 Posts; 829 Profile Views

Our pitocin bags come pre-mixed from the pharmacy. This is partly intended to decrease the risk of a med error by the RN mixing it, but I think the primary reasoning is because Joint Commission frowns on mixing meds at the bedside, period. Our hospital has made a big push to move meds towards either having something pre-mixed in pharmacy or making it IV push in order to align more closely with Joint Commission's recommendations.

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