07-12-2012 02:03 PM
We outsource our cefazolin syringes and store them in a refrigerator to use pre-op. We have noticed that the nurses are attaching needles to the syringes and replacing them in the refrigerator until they are needed. My concern is that when they attach a needle, is this compromising the sterility and should a different expiration date be used? My thought is to attach the needle at the time of administration but the nurses say that the anesthesiologists want them attached for them .....
07-13-2012 02:45 PM
I'd remind them that the caps are placed on the syringes while in the clean room. Opening the cap, placing a needle on the syringe is the same as opening for use and they need to discard it because they've exposed the drug to open air contaminates. and this can't be done.
I dont know if i could put an exact expiration on it, but at least from 797 it would be considered 'immediate use' now because it was not opened in a sterile environemnt.
07-16-2012 07:39 PM
I would agree with Solsken's assessment of the situation. It is like spiking an IV bag and letting it sit around. It isn't an entirely closed system in my mind.