The San Antonio Division at all of the Adult Emergency Departments and FSED's, are piloting a Lean Six Sigma project on improving Vancomycin Dosing 1500mg or greater.
Issue: Doses were not given or being missed.
Order sets were restricted to the ED location for Providers, but staff had on their eMAR 2 doses 1 hour apart. There was still an issue and the second dose was still being missed or delayed. So the Lean Six Sigma project was updated with a new process.
In December, the process changed in which the doses were profiled at the same time, so the doses in emar were a few mins. apart, but staff were educated and label comments instructed them to administer the doses concurrently. Staff would scan both doses in eMAR appropriately, and set up the ICU Medical Pump to run both doses concurrently. Staff have specific instruction within the Label comments directing them to confirm the rate and volume.
Please contact Charge Nurse for additional questions.
Thank YOU!
