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Jugs
Mar 11, 2024 20:18:43 GMT
Post by Chuck Weddle on Mar 11, 2024 20:18:43 GMT
Are there any clinics still filling acid or bicarb jugs?
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Jugs
Mar 12, 2024 15:39:56 GMT
Post by qman213 on Mar 12, 2024 15:39:56 GMT
We do use some of the large jugs for our odd acids.
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Jugs
Mar 14, 2024 23:25:21 GMT
Post by dave74 on Mar 14, 2024 23:25:21 GMT
We do use some of the large jugs for our odd acids. Our director had a meeting with the medical directors and told them we would have three acid concentrates in outpatient, and only three. All the odd acids went away. We do have jugs in a storage facility in case the SDS breaks down.
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Jugs
Mar 15, 2024 9:49:58 GMT
Post by Chuck Weddle on Mar 15, 2024 9:49:58 GMT
We have one clinic that uses 2.5 gallon Nalgene jugs filled to the 1 gallon mark with our standard 2K/2.5Ca and spike it up to whatever is ordered. All of our other clinics use prefilled jugs of 1K/2.5Ca and spike it to what is ordered. Both methods using the correct size packets of course. At our acute programs, we only stock have 1K/2.5Ca prefilled jugs so, virtually everyb treatment the jug gets spiked. We used to have multiple formulas but there were too many mistakes. At our outpatient facilities, we only have 2K/2.5Ca in our central wall supply. Two clinics use a good bit (about 25%) of spiked baths and stock 1K/2.5Ca jugs. A third clinic only does spiking sporadically. This is the one that uses the large jugs. The MD's at our other locations don't believe in speacialty baths except in an acute setting.
I want to do away with using the large jugs mainly to standardize supplies so that when there is a backorder, supplies can be shared between clinics. I figured my best way of convincing our CMO and DOO of this was to pretend I'm a nurse and turn it into an infection control concern.
Unlike bicarb jugs, there is no regulation for disinfecting acid jugs. Our current practice is to just rinse the jug with RO water to get rid of any powder that may not be dissolved. Since doing away with bicarb jugs, we don't have a rack to keep a jug inverted to drip dry. This means the jug sits with residual water in it, potentially growing bugs.
The good news is, since posting this question I met with our CMO and DOO and they agreed. The bad news is, now I get to re-write the procedure!
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