I work for a small rural hospital at night in the ER. We only have pharmacy open during the day. The new pharmacy director has decreed the house supervisors may not go into the pharmacy for anything but absolutely life and death meds.
The other night in the ER, My LPN needed Vanco 500mg. The ICU and us only had 1000 mg premixed bags. I said it was ok to use half the bag, ie set the pump to 125 cc volume limit. The LPN , strenuously disagreed. ICU agreed with me, the MD's, and the house supervisor agreed with me. Yes, the bags are not exactly 250 cc, but it would be close enough and it was more important for the patient to get something rather than nothing for 8 hours.
What do you think? I hate to think I've been worng all these years....