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Second Opinions > Propofol count benchmarking study

Propofol count benchmarking study

We are conducting a study and your input would be helpful.

1. Is your facility currently counting propofol as a daily count?

2. Are you planning on starting a count sheet in the near future?

Started by: Trish Baker (Director, Surgical Services/Director of Nursing) at October 1, 2012 (2:03 pm)

Comments and Responses

View: latest first

Yes the last 2 nurses to close the Outpatient Facility count the Propofol and all controlled substance vials prior to closing the pharmacy.

L. Rodriguez (Medical Director/Chief Surgeon) at October 2, 2012 (1:20 pm)

Yes, we count it. We have been counting Propofol/Diprivan since 2009.

Lori Domeij (Director, Surgical Services/Director of Nursing) at October 2, 2012 (1:20 pm)

Yes, we count our propofol in the morning and at the end of the day. We also keep it locked with our narcotics. We are aware that it has potential for abuse just like the narcotics. Even though we are not required to count it, we do it to keep our practice safe. It only takes a moment and its the right thing to do! Drug abuse in America is at epidemic proportions. Just take a look in your state nursing magazine at all the healthcare providers who loose their licence because of drug theft and abuse. Keeping your practice and staff safe is a top prority, secure your propofol.

Jenny Pietrick (Administrator/Director/Manager/Owner/Executive Officer) at October 2, 2012 (1:20 pm)

Yes, we count our propofol in the morning and at the end of the day. We also keep it locked with our narcotics. We are aware that it has potential for abuse just like the narcotics. Even though we are not required to count it, we do it to keep our practice safe. It only takes a moment and its the right thing to do! Drug abuse in America is at epidemic proportions. Just take a look in your state nursing magazine at all the healthcare providers who loose their licence because of drug theft and abuse. Keeping your practice and staff safe is a top prority, secure your propofol.

Jenny Pietrick (Administrator/Director/Manager/Owner/Executive Officer) at October 2, 2012 (1:20 pm)

Yes we count propofol, and fentanyl and midazolam. Keeping a running total of the inventory assists us when ordering drugs for our small endoscopy center. Especially now when it is very difficult if not impossible to get any of the medications we normally use.

Dawn B. (OR Manager/Supervisor) at October 2, 2012 (1:20 pm)

We currently do not count Propofol and do not plan to in the near future unless mandated to do so.
Denise Fake
Hanover SurgiCenter

KATHY WILDASIN (OR Manager/Supervisor) at October 2, 2012 (1:20 pm)

We started counting daily the amount of vials we use and weekly the total amount on hand locked in the anesthesia room. This was suggested by our pharmacy consultant to better control the propofol. We have done this since August 2012. Our consultant feels that this medication will be mandated in the near future to be counted.

Steven Smith (Administrator/Director/Manager/Owner/Exec. Officer) at October 2, 2012 (1:22 pm)

We treat Propofol like CII drugs - counted, signed out and locked. We have been doing this for several years. We also have random pharmacy audits conducted by the Pharmacy Consultant which includes Propofol. We were affected by diversion several years back which influenced our decision to have a formal process of accountability for Propofol,Versed and Toradol- Myself, the staff and anesthesia providers (many of whom were here during that troubling time) have been 100% on board with this decision and, in fact, were a part of making this decision.

DeeDee B. (Administrator/Director/Manager/Owner/Exec. Officer) at October 2, 2012 (1:29 pm)

We count our Propofol beginning and ending of each day in each procedure room. Our stock inventory is counted weekly.

M. Semler (Administrator/Director/Manager/Owner/Exec. Officer) at October 2, 2012 (1:31 pm)

We count propfol as we would any other narcotic on our count sheet at the beginning and end of each surgery day. If there is propofol to be wasted the CRNA wastes it in the presence of an RN and they both sign the amount wasted.

R. Milliron, RN, DON

Rebecca Milliron (Director, Surgical Services/Director of Nursing) at October 2, 2012 (1:39 pm)

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