We do recommend administration of two antibiotics, provided there are two separate lines. Tough culture to change as still taught in nursing school. We have successfully converted the ED to first antibiotic administrations, then the subsequent dosing is scheduled by pharmacy, thankfully with different frequencies for most abx's. The floor nursing population is a little different, will take us longer to convert.
Pat Patricia A. Baker MS RN CNS CCRN CCNS Critical Care Clinical Nurse Specialist Heart & Vascular Center Winchester Medical Center Winchester VA 22601 Office: 540-536-6679 BB: 540-533-0754 A Clinical Nurse Specialist (CNS) is a Master's prepared Advanced Practice RN, with additional licensure, whose function is to improve outcomes in patient care. The CNS function in five sub-roles: clinical practice, leader, educator, researcher and consultant with the goal of improving patient outcomes in three areas: patient, practice, & organization. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Clifford Peebles Sent: Sunday, October 18, 2015 6:41 PM To: Mary McAdams Cc: [email protected] Subject: Re: [Sepsis Groups] Administering IV Antibiotics I understand there are those who are hesitant in administering two new antibiotics to a patient because it would be difficult to determine the offending drug during a drug reaction. As I see it, and as I practice, the concurrent administration of the antibiotics is more important than the risk of a reaction. Especially when using nepho/hepato-insulting vein irritating vesicant antibiotics that must be infused over a longer period of time. Not too sure how others feel about the question. Cliff. [Description: sig1] Cliff Peebles, RN<outbind://23-000000004315E22FCF058346A5246C72F39E671307000CBF5C420BD8AD4AAEDED774BD4A240F000003C2DFC000000CBF5C420BD8AD4AAEDED774BD4A240F000007DE01060000/[email protected]> Northwestern Medical Center<http://www.northwesternmedicalcenter.org/> Intensive Care Unit 133 Fairfield Street<http://www.mapquest.com/maps?address=133+Fairfield+St&city=Saint+Albans&state=VT&zipcode=05478-1726&country=US> Saint Albans, Vermont 05478<http://www.mapquest.com/maps?address=133+Fairfield+St&city=Saint+Albans&state=VT&zipcode=05478-1726&country=US> Phone 802-524-1039 / FAX 802-524-1204 Statement of Confidentiality This message and any attachments are from NMC and intended only for the addressee(s). The information contained may include privileged information. Unauthorized review, forwarding, printing, copying or distribution is strictly prohibited. If you have received this message in error, please delete it and notify the sender. Thank you. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary McAdams Sent: Friday, October 16, 2015 10:33 AM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Administering IV Antibiotics Can you please tell me thoughts on administering two IV antibiotics simultaneously to patients with severe sepsis or septic shock? Mary K. McAdams, BSN, RN, CEN, CPEN, TNS Manager of Education Honor Society of Nursing, Sigma Theta Tau International 550 W. North Street, Indianapolis, IN 46202, USA 888.634.7575 (U.S./Canada toll free) Phone: +1.317.634.8171 Fax: +1.317.634.8188 E-mail: [email protected]<mailto:[email protected]> Web: www.nursingsociety.org<http://www.nursingsociety.org/> IMPROVING WORLD HEALTH THROUGH KNOWLEDGE(tm) CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information or information otherwise protected by law. Any unauthorized review, use, disclosure or distribution of this e-mail message and its content is prohibited. If you receive this message in error or are not the named recipient, please contact the sender by reply e-mail, delete this e-mail from your computer and destroy any copies of the original message.
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