• 2 mg or 11 mg? We know this is 2
mg, not 11 mg of midazolam, but it is
a poor method of charting sequential
dosing on the anesthesia record.
Further, the anesthesia record
should be explicit, with "milligram-
age" noted. In this case, we would be
looking for midazolam mg and
remifentanil mcg. Preprinting those
drugs and strengths or units of
administration would help clarify the
anesthesia record.
• No outside medications.
Using a patient's "own
medications" is not recom-
mended, except in a few
extenuating circum-
stances, such as a unique
inhaler. If a patient brings
medications into the facili-
ty, they should only be
administered on a valid
and documented order of a licensed prescriber. Your facility should
identify the medications and validate their integrity as best as possi-
ble. Outside medications are best self-administered outside of the
OR under the observance of a nurse or physician. Appropriate docu-
mentation in the medical record is required.
Safety
S
2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 8
