Dispensing Process for Non-Traditional Route Administrations Delivered in IV Syringe (e.g. bladder instillation, inhaled, etc)

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

3 posts / 0 new
Last post
Courtney Doellner
Courtney Doellner's picture
Offline
Last seen: 8 months 1 week ago
Joined: 01/12/2021 - 10:49
Dispensing Process for Non-Traditional Route Administrations Delivered in IV Syringe (e.g. bladder instillation, inhaled, etc)

Hi All,

Interested in dispensing process best practices for products that are drawn up in IV syringes that are not intended to be administered via IV route. For example, bladder irrigation solutions, inhaled pentamidine, alteplase for chest tube administration, etc.

We are evaluating our standards to determine if there is a need to require nurse pick up for these types of products referenced above. Of note, we have other safeguards in place including appropriate route of administration on MAR, auxiliary labeling "not for IV use", etc.

1. Does your institution dispense these types of medications referenced above in leur lock IV syringes? If so, do you have a different delivery process (e.g. require nurse pick up, etc)?
2. Do you dispense any of these medications in non-IV syringes (e.g. slip tip, etc)?

Thank you in advance, appreciate any insight!
Best,
Courtney