Busulfan was wasted and had to be remade due to leak on the unit.Nurse asked pharmacy to remake medication due to leak.I called nurse to clarify details.Sounds like after priming on the unit, medication was found to be leaking from the spiros (icumedical spinning spiros closed male luer, red cap, lot 4991021).Pharmacy remade and sent new bag to unit with a different spiros lot number.Upon further investigation after speaking to nurse, its sounds like nurse did not put on a c clip while priming, which led to leak out of spiros.Nurse said that she was told it was optional to have c clip.Not sure if there was previous communication regarding not needing c clip, but there needs to be further nursing education now regarding circle priming and c clips.
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