fentanyl patch

Multiple fentanyl patches on paper MAR

Patricia Chisholm's picture

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Our organization remains in a hybrid state with some fully activated Cerner sites and some non-CPOE sites with many paper components.
We are revising our fentanyl patch procedure and are curious about the way that multiple patches show on a paper MAR.
One entry (line on the MAR) to sign for the total dose or multiple entries for different strengths? E.g. one MAR entry for 150 mcg/h or one entry for the 50 mcg/h patch and a separate entry for the 100 mcg/h item?

Patch identification

Dan Sheridan's picture

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Hi,

In our medication safety meeting today, the nurses were talking about how hard it can be to tell different patches apart, or even to see the patches.

For example, if a patient is on a nicotine patch and a fentanyl patch and they look alike, how do we avoid ending up with two fentanyl patches and no nicotine patches?

Have any of you come up with strategies to label the patches upon application?

How can we make a clear or flesh-colored patch more visible?

Thank you,
Dan

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