According to the response we got from JCAHO if you are using them
immediately you don't have to label but if you are laying it down you
do.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Lynn Hadaway
Sent: Monday, November 07, 2005 04:06 PM
To: Tim Talbert; [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: Attention Manufacturers

My question does not involve a sterile field, just routine catheter 
flushes. How is your institution addressing the issue of labeled 
syringes, for instance, if your nurses draw up saline from a 
multidose vial or bag? Lynn

At 12:45 PM -0800 11/7/05, Tim Talbert wrote:
>The standard prefills are not sterile on the outside, and are not to 
>be used on a sterile field.  Sterile all over prefills are 
>available, but are much more expensive.
>
>Tim
>
>>>>  "Nicastro, Margaret" <[EMAIL PROTECTED]> 11/7/05 >>>
>Many institutions are going to pre-filled saline and heparin 
>syringes.  We just recently switched to prefilled syringes and it is 
>great.  Saves nursing staff time.  Shoot for prefilled syringes.
>Margaret
>
>________________________________
>
>From: [EMAIL PROTECTED] on behalf of Lynn Hadaway
>Sent: Mon 11/7/2005 9:57 AM
>To: Kokotis, Kathy; Wendy Boersma; [EMAIL PROTECTED]
>Subject: RE: Attention Manufacturers
>
>
>
>2006 National Patient Safety Goals state that syringes and any other
>contains on a sterile field have to be labeled. Too many bad
>outcomes, even death when solutions have not been labeled and have
>been mixed up.
>
>I am curious to know how this will be applied to other situations
>such as catheter flushing. When nurses draw up multiple saline or
>heparin filled syringes and use them throughout a shift with no
>label. Has anyone had any feedback from JCAHO on this issue? Lynn
>
>At 7:01 AM -0700 11/7/05, Kokotis, Kathy wrote:
>>The drug bottles are labeled.  Do you pre-fill the syringes?
>>Kathy
>>
>>________________________________
>>
>>From: [EMAIL PROTECTED] on behalf of Wendy Boersma
>>Sent: Thu 11/3/2005 6:16 AM
>>To: [EMAIL PROTECTED]
>>Subject: Attention Manufacturers
>>
>>
>>
>>JACHO has blessed us with another survey as I speak.  One thing that
was
>>strongly pointed out is that all medications will need to be labeled
on
>>our syringes or a process identifying the different medications when
on
>>our sterile field.  I guess I am asking what others approach will be
to
>>this.  In our Cath Lab they have color coded syringes and this was
>>acceptable to the Physician surveyor but the manufacturer I use does
not
>>have labels or color coded syringes in the tray that we are currently
>>using.
>>
>>What will be everyone's approach to this.  Our process currently is we
>>use a small syringe and this is the Lidocaine.  We attach our saline
>>syringe immediately to the catheter when drawn up and our Heparin is
on
>>the right side of our field.
>>
>>Thanks for your input in advance.
>>
>>Wendy Boersma, RN, BSN, CRNI
>>Infusion Therapy Services Coordinator
>>269-966-8591 or pager 269-410-0385
>>
>>
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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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-- 
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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