Delivery meds

[magz53]

We recently got a pyxis for all of our meds. What do you all do about having meds at delivery ?? We have a doc who is trying to prove a point ( he hates the pyxis ) and is demanding pitocin, methergine, viscous lidocaine, 2% lidocaine and Hemabate at every delivery. He is calling a 200cc blood loss a hemorrhage just to prove a point. I am not comfortable returning Methergine and Hemabate to the refrigerator after they have reached room temperature. Conceivably, the same vials may not be used for several deliveries thus reaching room temperature countless times. The drug manufacturers say they need to be refrigerated for a reason. I presume that eventually they would not be effective if left at room temperature. There is a loss of quality control returning the same vials. I have told this physician that his patients will all be charged for these meds whether used or not and he became furious with me. I agree that in an emergency, it is vital they be instantly available and it is a pain to leave the room and have to program in names and codes etc. to have access to a refrigerator. I can't find any info online in regard to the stability of these drugs at room temperature or for what duration they are effective. I have yet to talk to our pharmacist, I suppose I could contact Pfizer........the maker of Hemabate. What does everyone else do in regard to having these drugs available at bedside ???

[SmilingBluEyes]

I love Pyxis! I sure do miss it. We bring a "tackle box" to every delivery. It has suture, needles/syringes, purple/red tops, can opener for local, and also we bring the hemabate/methergine. We try to always be ready. It works great!

[msmcrn5]

We pull pit, lidocaine, and mineral oil for every delivery from the omnicell. It is quite easy as it uses our fingerprint to log us in, so in an emergency, it is really easy and fast to access methergine and hemabate (which we never pull unless the Dr asks for them).

And we always return all meds we don't use