Labelling Lidocaine

[imenid37]

Hi Everyone! Do you label lidocaine (w/ a sterile label) that you add to the sterile bowl on the delivery table if it is verified w/ ob and then immediately drawn up into a syringe by him/her and used for local w/ in 30-60 sec. This is what pharmacy wants us to do. We would have to put on sterile gloves and label it, it would be pulled into the syringe almost immediately (I guess we are supposed to label that too?) and then injected w/ in a very few seconds. Anyone faced this issue and had a JCAHO survey recently? I am thinking if we shown it to doc, verify it, pour it into bowl, and it is used almost immediately (and is only fluid on table), that we may not need to do this. Any thoughts??? Thanks in advance....

[ADN 2002]

We open lidocaine as it's needed. Depending on the doctor, we'll either pour it into a sterile cup on the table or the doctor draws it up (while we hold the vial) with an empty syringe from the sterile field. I think it's a good idea, cuts down on waste (thus cutting costs).

[imenid37]

We open lidocaine as it's needed. Depending on the doctor, we'll either pour it into a sterile cup on the table or the doctor draws it up (while we hold the vial) with an empty syringe from the sterile field. I think it's a good idea, cuts down on waste (thus cutting costs).

This is what I would like for us to do BUT the pharmacy insists that we must use these sterile labels even though the med spends a few seconds in the sterile bowl before the dr. draws it into the syringe. We don't use lidocaine all the time either and open it at the very end of the delivery if the dr. asks for it. I don't think in our case that using a sterile label for liquid which is on the table for a few seconds without any other fluids is beneficial for our pts., but is a distraction for the nurses.