station) away from
immediate patient
treatment areas, per
CMS and safe injection
practices. A cart with
wheels is considered
off limits because you
could conceivably roll
the cart into a patient
care area.
10. When can you use single-dose vials for multiple patients?
a. the syringe is prepared in a medication prep area in advance of
medication administration
b. the syringe has all the proper labeling requirements
c. never
d. there's a national shortage and it's difficult to obtain the drug
c. This is a CMS safe injection practice.
11. Intravenous ondansetron is available 4 mg/2 ml. What is your
final drug concentration of the vial? ___ /ml
a. 4 mg c. 8 mg
b. 2 mg d. 1 mg
b. To arrive at this answer, 4 mg/2 ml = x mg/1 ml, cross multiply and
x = 2. Never thought high school algebra could come in handy, did
you?
12. A pediatric patient is ordered 1 mg IV.
3 2 • 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 N E 2 0 1 7
• MULTI-DOSE VIALS If you use multi-dose vials for more than one patient, store and access
the vial in a dedicated medication preparation area, away from patient treatment areas.
Pamela
Bevelhymer,
RN,
BSN,
CNOR
