A few years ago we were having numerous problems with our ER giving phenergan
IV push sometimes via a saline lock and sometimes via the lowest port of the IV
fluids but stopping the fluids while administering the phenergan. Needless to
say we had a number of patients complaining of pain, infiltrations occuring. I
would address this with our med safety committee and our P & T committee. I
finally made some headway when a patient in the ER who also was a hospital
employee, a nurse and also a diabetic had a phenergan infiltrate. I did not
like the looks of her hand and called her primary care physician and
recommended she be referred to a plastic surgeon. She had an appt with the
plastic surgeon who followed her weekly for quite some time. He felt she might
need plastic surgery but she opted to wait it out and continued with his
treatment of vaseline gauze to the site and an acewrap. After over a year you
can hardly see where the infiltrate was. She knows it was there !
and sometimes is embarrassed to show her hand. After this incident which I
took back to the med safety committee and P & T with pictures of her hand we
changed our policy to read Phenergan must be diluted in a syringe with 10 ml
NSS and given slow IV Push. This has cut down on our infiltrates and pain
issues.
Margaret M Nicastro, CRNI, OCN
Coorordinator IV Therapy/Oncology
Gettysburg Hospital
147 Gettys Street
Gettysburg, PA 17325
Phone: 717-337-4312
Fax: 717-337-4485
________________________________
From: [EMAIL PROTECTED] on behalf of Lynn Hadaway
Sent: Wed 11/2/2005 4:19 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Cc: John Cole
Subject: Re: [vascular] Phenergan protocol
Gahart's Intravenous Medication handbook calls for promethazine to be
administered thru the injection port of a free flowing infusion. Lynn
At 3:34 PM -0500 11/2/05, Beverly Moore wrote:
Does anyone out there have a protocol or policy requiring that
Phenergan be given sidearm on compatible fluid? Would you be willing to share?
We are thinking about implementing this.
Beverly Moore, RN, BSN, OCN
IV Therapy
Danville Regional Medical Center
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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
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