Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 10:47:32 AM Central Standard Time, lnmolino@... writes: Please ask her why OSHA would make such a rule? OSHA only writes rules that impact employee safety, mixing a med is not an employee safety issue it is a patient safety issue which is why I would understand JACHO getting in on it but even then aren't some med's required to be mixed at the time of infusion? Regulations that dictate clinical practices tend to be very bad things in my view. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " I did ask. The issue is the problem of mixing the drips inappropriately. She did specify both entities for in-hospital have done this. I still seem to think this is a training problem. I can't believe that calculations cannot be done anymore. Of course with the threads that have come across this listserver maybe it is not just an EMS problem but a problem in the medical field in general???? As far as mixing the meds at infusion the pharmacy is responsible for this. The floor nurses do not mix anymore. Again I have not seen this as an issue in EMS but maybe it is coming and we just don't know it yet. Like not knowing something coming is a big change in SOP. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 10:47:32 AM Central Standard Time, lnmolino@... writes: Please ask her why OSHA would make such a rule? OSHA only writes rules that impact employee safety, mixing a med is not an employee safety issue it is a patient safety issue which is why I would understand JACHO getting in on it but even then aren't some med's required to be mixed at the time of infusion? Regulations that dictate clinical practices tend to be very bad things in my view. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " I did ask. The issue is the problem of mixing the drips inappropriately. She did specify both entities for in-hospital have done this. I still seem to think this is a training problem. I can't believe that calculations cannot be done anymore. Of course with the threads that have come across this listserver maybe it is not just an EMS problem but a problem in the medical field in general???? As far as mixing the meds at infusion the pharmacy is responsible for this. The floor nurses do not mix anymore. Again I have not seen this as an issue in EMS but maybe it is coming and we just don't know it yet. Like not knowing something coming is a big change in SOP. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 10:47:32 AM Central Standard Time, lnmolino@... writes: Please ask her why OSHA would make such a rule? OSHA only writes rules that impact employee safety, mixing a med is not an employee safety issue it is a patient safety issue which is why I would understand JACHO getting in on it but even then aren't some med's required to be mixed at the time of infusion? Regulations that dictate clinical practices tend to be very bad things in my view. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " I did ask. The issue is the problem of mixing the drips inappropriately. She did specify both entities for in-hospital have done this. I still seem to think this is a training problem. I can't believe that calculations cannot be done anymore. Of course with the threads that have come across this listserver maybe it is not just an EMS problem but a problem in the medical field in general???? As far as mixing the meds at infusion the pharmacy is responsible for this. The floor nurses do not mix anymore. Again I have not seen this as an issue in EMS but maybe it is coming and we just don't know it yet. Like not knowing something coming is a big change in SOP. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 11:19:09 AM Central Standard Time, je.hill@... writes: One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill That is my thought as well. I have only noticed this as coming up as a problem in-hospital. I just wanted to make sure this was not another change yet to be implemented. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 11:19:09 AM Central Standard Time, je.hill@... writes: One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill That is my thought as well. I have only noticed this as coming up as a problem in-hospital. I just wanted to make sure this was not another change yet to be implemented. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/05 11:19:09 AM Central Standard Time, je.hill@... writes: One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill That is my thought as well. I have only noticed this as coming up as a problem in-hospital. I just wanted to make sure this was not another change yet to be implemented. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/2005 2:46:50 P.M. Central Standard Time, gs.higgins@... writes: We seemed to be missing how this thread started. It was stated that this was an OSHA mandate. I have done a quick search of the OSHA regs and was unable to locate anything. Would someone please quote the specific OSHA regulation so we can put this to rest? My whole point is that OSHA would not have any reason to mandate anything on this as OSHA does not do patient safety they do employee safety and there are no issues here that relate to that (by any stretch of my contorted imagination anyway). Simple stated unless someone can point me to the said " regulation, that I frankly don't think exists there is not an issue here with OSHA. As was stated earlier by Jane I think managers tend to blame regulators for stuff they make up as a way out and sadly 95% of the work force just goes along with it. God forbid we question management after all they never would lie to us. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/2005 2:46:50 P.M. Central Standard Time, gs.higgins@... writes: We seemed to be missing how this thread started. It was stated that this was an OSHA mandate. I have done a quick search of the OSHA regs and was unable to locate anything. Would someone please quote the specific OSHA regulation so we can put this to rest? My whole point is that OSHA would not have any reason to mandate anything on this as OSHA does not do patient safety they do employee safety and there are no issues here that relate to that (by any stretch of my contorted imagination anyway). Simple stated unless someone can point me to the said " regulation, that I frankly don't think exists there is not an issue here with OSHA. As was stated earlier by Jane I think managers tend to blame regulators for stuff they make up as a way out and sadly 95% of the work force just goes along with it. God forbid we question management after all they never would lie to us. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/2005 2:55:34 P.M. Central Standard Time, ExLngHrn@... writes: Disclaimer -- as an attorney, I've probably been indirectly blamed for something not happening. I can assure you that you have and you're likely even unaware of it as we speak! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/2005 2:55:34 P.M. Central Standard Time, ExLngHrn@... writes: Disclaimer -- as an attorney, I've probably been indirectly blamed for something not happening. I can assure you that you have and you're likely even unaware of it as we speak! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 In a message dated 1/5/2005 2:55:34 P.M. Central Standard Time, ExLngHrn@... writes: Disclaimer -- as an attorney, I've probably been indirectly blamed for something not happening. I can assure you that you have and you're likely even unaware of it as we speak! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill -------------- Original message from petsardlj@...: -------------- In a message dated 1/5/05 10:47:32 AM Central Standard Time, lnmolino@... writes: Please ask her why OSHA would make such a rule? OSHA only writes rules that impact employee safety, mixing a med is not an employee safety issue it is a patient safety issue which is why I would understand JACHO getting in on it but even then aren't some med's required to be mixed at the time of infusion? Regulations that dictate clinical practices tend to be very bad things in my view. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " I did ask. The issue is the problem of mixing the drips inappropriately. She did specify both entities for in-hospital have done this. I still seem to think this is a training problem. I can't believe that calculations cannot be done anymore. Of course with the threads that have come across this listserver maybe it is not just an EMS problem but a problem in the medical field in general???? As far as mixing the meds at infusion the pharmacy is responsible for this. The floor nurses do not mix anymore. Again I have not seen this as an issue in EMS but maybe it is coming and we just don't know it yet. Like not knowing something coming is a big change in SOP. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill -------------- Original message from petsardlj@...: -------------- In a message dated 1/5/05 10:47:32 AM Central Standard Time, lnmolino@... writes: Please ask her why OSHA would make such a rule? OSHA only writes rules that impact employee safety, mixing a med is not an employee safety issue it is a patient safety issue which is why I would understand JACHO getting in on it but even then aren't some med's required to be mixed at the time of infusion? Regulations that dictate clinical practices tend to be very bad things in my view. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (Home Office) (Cell Phone) (TEEX Office) " A Texan with a Jersey Attitude " I did ask. The issue is the problem of mixing the drips inappropriately. She did specify both entities for in-hospital have done this. I still seem to think this is a training problem. I can't believe that calculations cannot be done anymore. Of course with the threads that have come across this listserver maybe it is not just an EMS problem but a problem in the medical field in general???? As far as mixing the meds at infusion the pharmacy is responsible for this. The floor nurses do not mix anymore. Again I have not seen this as an issue in EMS but maybe it is coming and we just don't know it yet. Like not knowing something coming is a big change in SOP. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 I have never heard of such a thing as this. Lots of ems agencies still use do not carry pre-mixed dopamine and lidocaine drips . we used them for adults but have to mix lido. Drip in a buretrol for pediatric post resuscitation. B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 I have never heard of such a thing as this. Lots of ems agencies still use do not carry pre-mixed dopamine and lidocaine drips . we used them for adults but have to mix lido. Drip in a buretrol for pediatric post resuscitation. B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 This is the first I have heard of anything like this, and it would really make no real sense in the prehospital world - if for no other reason, due to expense and space confinement issues for stock. Jane Hill -------------- Original message from petsardlj@...: -------------- In a message dated 1/5/05 11:19:09 AM Central Standard Time, je.hill@... writes: One more thing I noted from working in the hospital environment, it was very common for administration to pass new rules about any number of things and then blame the changes on JCAHO or other agencies. Sometimes it was true, sometimes it was just an attempt to justify the change with as few complication as possible with the staff. Jane Hill That is my thought as well. I have only noticed this as coming up as a problem in-hospital. I just wanted to make sure this was not another change yet to be implemented. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 There are JCH regulations in place that state all medications that are mixed or componded must be done so by pharmacy personnel only. Mike Hudson >>> jamesdav@... 01/05/05 11:19 AM >>> I have never heard of such a thing as this. Lots of ems agencies still use do not carry pre-mixed dopamine and lidocaine drips . we used them for adults but have to mix lido. Drip in a buretrol for pediatric post resuscitation. B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 For HOSPITALS. I was saying that I had heard of nothing like this affecting the EMS industry. Jane --------- Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 For HOSPITALS. I was saying that I had heard of nothing like this affecting the EMS industry. Jane --------- Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 For HOSPITALS. I was saying that I had heard of nothing like this affecting the EMS industry. Jane --------- Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 Wha is JCH?? B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 Wha is JCH?? B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 Wha is JCH?? B. , AAS, LP Baylor Regional Medical Center at Grapevine EMS Educator Baylor EMS Medical Control 1601 Lancaster Drive Suite #10 Grapevine, Tx 76051-3300 Office Direct Line Fax Cell Pager Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 Slang term for Joint Commission on Hospital Accreditation. Jane --------- Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2005 Report Share Posted January 5, 2005 Slang term for Joint Commission on Hospital Accreditation. Jane --------- Drip Medications I have recently been advised by my wife, who happens to be an RN; that it is against regulations to mix medication drips, i.e., dopamine, Lidocaine, etc.. She states that OSHA and JACHO have made this a regulation. Is this happening in EMS or are we behind like usual? Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office FAX Quote Link to comment Share on other sites More sharing options...
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