So my PACU just changed to electronic orders & scanning meds. Not a big deal for the most part except for the fact that we are now only allowed to give one dose from a vial of fentanyl or dilaudid & waste the rest, even when we will need another dose in 5 minutes.
So I may only give 25mcg fentanyl, waste 75; give another dose, waste half or more of the vial. Our dilaudid comes in 2 mg vials but we only give 0.2-0.4, wasting up to 1.6 each time we dose our pt. It's mindboggling how much is wasted & on a busy day, we basically have to have a free nurse help keep up with wastes at the pyxis.
Explanation from pharmacy is that these are single dose vials & cannot be scanned multiple times, even for the same pt.
Is this the same for those of you that scan meds in PACU? Thoughts?