ELIMINATING Medication Confusion ... If your EMS agency tries to cram vials into sponge cases, has them free-floating in orange fishing tackle boxes, or has them covered with elastic bands in a med case ... then I argue that you're "doing it all wrong!" Multiple vial colors versus prefilled syringe colors equals risks and opportunities for failure. My solution - overseeing logistics for my 26-ambulance, 50,000 call agency: individualized clear bags for each vial/syringe/medication with the appropriate hardware for administration. That means a filter straw, x2 alcohol wipes, and a 25 GA 5/8" needle with the Epi 1:1,000. Single/Specific color-coded labels on each bag with a listing of doses and contents, etc. Eliminate confusion, period, wherever possible. Create necessary checks/redundancies where needed to eliminate confusion risk (and not just to create more steps or more work). It is possible (and if you're not actively doing this, then I argue that you're "doing it wrong"). Too bad my agency chose not to impliment it.
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