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Reduce Adverse Drug Events (ADEs) Involving Intravenous Medications:
Use Oral Syringes for Oral Medications Only

Oral syringes are intended for administration of oral medications only, but unfortunately they often fit easily into intravenous line ports. This can lead to an error where an oral medication is administered accidentally into an intravenous line, which may lead to an adverse drug event. To avoid this risk, use oral syringes for oral administration only.


Tips
  • Store oral syringes separately from other syringes, to prevent the chance of them being selected in error.
  • Dispense all liquid medications in individual, ready-to-use, single doses. That way, nursing staff will never need to draw up medications using any syringes.
  • Label oral syringes dispensed from the pharmacy with an "oral only" label on the tip or the plunger of the syringe so that the label must be removed prior to administration.
  • Place distal labels on all ports — feeding tubes, central lines and peripheral lines — to alert staff as to which line they are accessing.
  • Use oral syringes that have a different appearance from intravenous syringes, such as a different color.