6. Diverting opioids in the surgical setting can result in ________ .
a. an incapacitated employee unable to deliver reliable care to patients
b. a patient not receiving the intended dose of medication
c. the diverter infecting the patient and themselves
d. all of the above
d. These are but a few of the bad things that can happen when staff
divert drugs intended for patients. The risk of infection cannot be over-
stated. Diverters often compromise the sterility of a vial by reusing
syringes for self-injection, and then filling these syringes with saline.
7. Vancomycin 1 gram vials need to be reconstituted with 20 ml
Sterile Water for Injection. After reconstituting with the SWFI, how
many mls are needed for a 750 mg dose?
a. 20 ml d. 7.5 ml
b. 15 ml e. none of the above
c. 10 ml
b. To arrive at this answer, 1000mg/20ml = 750mg/x ml, cross multiply
and x = 15ml.
8. What's wrong with
this picture?
a. The syringes are
unlabeled.
b. Controlled, highly
divertible drugs are
unattended.
c. Personal items are
on the tray
3 0 • 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
• 4 WRONGS This tray is more than just cluttered.
John
Karwoski,
RPh,
MBA
