We have both an adult and pediatric hospital and have been approached by our Peds ED to allow for the RN to reconstitute and administer partial vial/pt specific doses via IV push to improve turn around time (meet 60 min).
-example - dose is 700 mg cefazolin. RN pulls vial, reconstitutes to standard conc, draws up pt specific dose, labels syringe and administers via syringe pump guardrails.
We always strive to send pt specific doses, especially for our pediatric patients, but this is not always possible (all the allowed meds in the ADC like narcotics, furosemide, ketorolac etc).
If you are/have a pediatric hospital/ED do you allow RN's to reconstitute antibiotic vials and give partial vials (pt specific doses)? If so, what steps did you take to ensure/improve safety over the proces?