Safe dilution of IVP meds
Our acute care facility utilizes pre-filled normal saline syringes.Â We also had blunt needles.Â Example:Â When nurses needed to give a small dose of Ativan IVP they would draw up the Ativan into a syringe using a blunt needle and then transfer the med or aspirate the saline into the syringe using the blunt needle.Â The facility has now eliminated the blunt needles since contracting with a different needle company and nurses are crying fowl because the "new" blunt tips will not fit into a syringe.
My advise is to dilute using a mult-dose vial of 0.9% NSS or if the continuous fluid is compatible to aspirate contents into the syringe from a y-site and then push the drug over time.
Any thoughts or suggestions??