Vol. X, No. 9Archive > September, 2009

Letters & E-mails

Fentanyl diversion was avoidable

Re: "Scrubbed and Stoned" (August, page 40). I thoroughly enjoyed this article, but missing from the story was any mention of the anesthesia provider leaving a filled syringe accessible to addicts such as Ms. Parker. It must have been like being a kid in the candy store for her. In an elective surgical setting, it might be more prudent for the anesthesia provider to lock away the syringes in the anesthesia cart, carry the syringe with him or preferably draw up the medications immediately before use. It's the chain of custody process that helps prevent these events.

Michael Kenney, MBA, RN
Manager of Surgical Services
St. Joseph's Hospital
West Bend, Wis.
mkenney@stjosephswb.com

 
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