MEDICATION ERRORS: No bottoms up
MICHAEL R. COHEN RPH, MS, SCD

$3.95
Nursing2014
June 2004 
Volume 34  Number 6
Pages 18 - 18
 
  PDF Version Available!

ABSTRACT
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  • Figure. No caption a...

    A patient's wife accidentally administered occult blood developer solution (Hemoccult Sensa, containing 4.2% hydrogen peroxide and 80% denatured ethyl alcohol) into her husband's eyes. She thought that the bottle the nurse had left at his bedside contained artificial tears, which she'd regularly been instilling into his eyes. The patient experienced mild pain that resolved quickly when his eyes were flushed.

    Hemoccult developer and other generic products are available in squeeze bottles that resemble eyedrop bottles. Although Hemoccult developer containers have a “stove pipe” cap and an icon to warn against using the solution in the eyes, neither safeguard prevented this error. A similar product, Seracult (5% hydrogen peroxide and 75% ethanol), comes with a cardboard ring around the bottle neck stating, “Do not use in the eyes,” but the ring can be torn off and the warning ...

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