Patient receiving hydromorphone pca 25 mg/50 ml noticed that syringe was leaking from pump.Nurses changed out pca syringe.Identified that the syringe tip inside the luer-lock had broken off and was causing leak.Pharmacy purchases the hydromorphone 25 mg/50 ml pca syringes from (b)(4).These are compounded in 60 ml monoject (covidien) syringes.Lot number of affected product was 1220022939, expiration 1/18/2021.In (b)(6) 2020, we notified (b)(4) of broken syringe tips on 2 compounded fentanyl 50 ml syringes ((b)(4), lot 1120024201) that were also in the same 60 ml monoject syringes.It appears there may be an issue with the tips of the monoject syringes.Provided photos of the hydromorphone syringe.Will be discussing at our local medication safety committee meeting and providing information to nursing to be aware of issue.(b)(6).Submission id.(b)(4).
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