• Alert sticker placed on both sides of all bags of epidural infusions at the time of dispensing and on epidural lines • Special monitoring - flow sheet, EMR documentation, order sets • Guidelines for timing of anticoagulation
High Alert Drug: IV Narcotics/opiates used in PCA’s
• Standardized concentrations. • Electronic order set. • Special monitoring required - flow sheet. • Two RNs independently verify pump settings and drug prior to administration.
Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
HYDROmorphone (Dilaudid) Epidural Key: management only
Y
Y
Y
Y
Y
Y
Y
N
HYDROmorphone (Dilaudid) IV Push, IV Infusion PCA for pain management
Y
Y
Y
Y
Y
IV Push only
IV Push only
IV Push only
HYDROmorphone (Dilaudid) IV Push, IV infusion Sedation / Analgesia by Non-Anesthesia Personnel
• Special monitoring - flow sheet, EMR documentation, order sets
• Guidelines for timing of anticoagulation
• Electronic order set.
• Special monitoring required - flow sheet.
• Two RNs independently verify pump settings and drug prior to administration.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
Epidural Key: management only
IV Push, IV Infusion PCA for pain management
IV Push, IV infusion Sedation / Analgesia by Non-Anesthesia Personnel