When narcotics are received the DEA requires the receiver to complete the blue copy correctly. This must include the date received and quantity received in the proper columns. Attached a copy of the invoice or packing slip to the blue copy and keep on file for at least 2 years.
Please contact JDJ Consulting if you have any questions.
“Dynamic Pharmacist Consulting for Improved Patient Safety and Drug Security”
by John Karwoski, RPh, MBA
President and Founder
JDJ Consulting, LLC
Dynamic Pharmacist Consulting for Improved Patient Safety Presentation
CH asks: What medications are effective in treating PONV when the patient has arrived in the PACU?
JDJ: Before administering an antiemetic, other causes of PONV should be ruled out. Once the decision is made to administer an antiemetic, the best-studied agents are the 5-HT3 receptor antagonists i.e. Zofran(ondansetron). It should be noted however, that these drugs are fairly effective for treating vomiting but is less effective for treating nausea. In addition, a drug that has been administered for prophylaxis should not be readministered as treatment in the immediate postoperative period; an agent from a different pharmacologic class should be administered instead.
If your patient received no prophylaxis, therapy with a small-dose 5-HT3 receptor antagonists should be inititated on the first signs of PONV. In general, treatment doses are about a quarter of those used for prophylaxis. (studies have shown no difference in efficacy between 1, 4, and 8mg doses). In patients who received prophylaxis with ondansetron, response rate was significantly higher when promethazine (6.25mg IV) was given than when ondansetron was administered.
Please contact JDJ Consulting if you have any further questions.