Smith's medical, the manufacturer of the cadd solis pca, is experiencing a shortage of both the cassettes used to make the pcas and the connector tubing needed to connect the infusion bags to the cadd solis pumps.In order to conserve supplies, multiple changes to help facilitate patient care however there are multiple safety implications and concerns - controlled substances pcas require lockboxes, which additional lockboxes were purchased however, (usually yellow lockboxes are used for epidural administration and clear for iv) with the limited availability of yellow boxes therefore we now have comingled clear and yellow boxes, switching to bags instead of cassettes for both iv epidural and iv pcas which can cause for mix-up (epidural intended/ordered pca be administered via iv and vice versa) -lack of yellow cassettes which nurses are used to seeing for epidurals.Quick resolution of shortage reminders to staff to remain diligent on tracing and labeling lines not rely on color of lines / cassettes.Drug shortage similar labels / packaging drug shortage.Circumstances or events have capacity to cause error.(b)(6).Submission id: (b)(4).
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