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Archive February 2018 XIX, No. 2

Ideas That Work: Medication Lockbox

Keep Drugs Under Lock and Key in the OR.

Outpatient Surgery Editors


Lock and Key
UNDER LOCK + KEY Monique Guyse, RN, a staff nurse at Pediatric Specialists of Virginia, came up with the idea to store drugs in a medication lockbox located in the OR.

We installed a lockbox in each of our 2 ORs to store the medications we need for the day's cases. Instead of running to the medication room between cases to gather meds for each case, a nurse simply unlocks the medication lockbox we bought on Amazon and gets what she needs. We lock the tamperproof box when it's not in use. When the box is empty at day's end, the circulator leaves the key in the door. The next morning's circulator removes the key and keeps it on her lanyard. We prepare our medications the day before, looking at the schedule and then pulling a bin of all the day's meds, including vials of local anesthetics (which we draw up and administer right away), antibiotic ophthalmic and eye drops. We lock the bin in the med room overnight and then transfer its contents to the lockbox the next morning before the first case of the day at 7:30 a.m.

Glory S. Billman, BSN, RN
Pediatric Specialists of Virginia
Fairfax, Va.

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