Medication Safety
Publication Date: September 1, 2017
Recommendations
To prevent medication errors, perioperative nurses should:
• obtain and prepare one medication for one patient at a time;
• transfer only one medication at a time to the sterile field;
• verbally verify each medication with the scrub person and include the medication name, strength, dosage, and expiration date;
• transfer medication to the sterile field using aseptic technique;
• use sterile transfer devices or syringes to transfer medications from vials to the sterile field rather than removing rubber stoppers unless the stopper is designed to be removed (eg, has a removable metal band);
• collaborate with the scrub person to ensure all containers and syringes on the sterile field that contain medications, solutions, chemicals, and reagents are labeled immediately after transfer to the sterile field with the:
• transfer only one medication at a time to the sterile field;
• verbally verify each medication with the scrub person and include the medication name, strength, dosage, and expiration date;
• transfer medication to the sterile field using aseptic technique;
• use sterile transfer devices or syringes to transfer medications from vials to the sterile field rather than removing rubber stoppers unless the stopper is designed to be removed (eg, has a removable metal band);
• collaborate with the scrub person to ensure all containers and syringes on the sterile field that contain medications, solutions, chemicals, and reagents are labeled immediately after transfer to the sterile field with the:
○ medication name;
○ strength;
○ dilution (and diluent, if used);
○ date; and
○ time the medication expires, if less than 24 hours;
○ strength;
○ dilution (and diluent, if used);
○ date; and
○ time the medication expires, if less than 24 hours;
• ensure labels only include approved abbreviations and dose expressions; and
• encourage use of tall man lettering for container labels when medications have look-alike names.
• encourage use of tall man lettering for container labels when medications have look-alike names.
6731
Recommendation Grading
Disclaimer
Overview
Title
Medication Safety
Authoring Organization
Association of periOperative Registered Nurses
Publication Month/Year
September 1, 2017
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Hospital, Operating and recovery room
Intended Users
Surgical technologist, nurse, medical techologist technician, nurse practitioner, physician, physician assistant
Scope
Prevention
Diseases/Conditions (MeSH)
D061214 - Patient Safety, D008509 - Medication Systems, D012449 - Safety
Keywords
medication safety