PINCH Drugs

sentinel event

errors that cause significant injury, including death

P

Parenteral Nutrition

P

Potassium infusions

I

Insulin

N

Narcotics

C

Chemotherapy

H

Heparin

All PINCH Drugs

always on a pump - narcotics = locked pump

Parenteral Nutrition

2 nurses check TPN label against original order

Potassium IV

premixed = no check, you mixed = double check with another RN, verify against order

Potassium IVPB

2 nurses check Pts identity, verify K+ level, verify flow rate set on pump

Insulin infusion/drip/gtt

2 nurses check initial set up, any rate change. IVP - 2 nurses check # drawn up

Narcotics - all routes

2 nurses verify and document amounts wasted - by law

Narcotic Infusions & PCA

2 nurses check initial set up, any bag/syringe change, any rate change, shift change

Chemotherapy/Antineoplastic agents IVP

2 nurses check label against original order, infusion rate. Oftentimes special certification needed

Heparin IVP

2 nurses check before administration, verify most recent ptt lab value

Heparin drip/gtt

2 nurses check bag before hanging, any rate change, check lab results before giving