Medication Prep and Use in OR

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Thu, 08/13/2026 - 13:26
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Kelli Keene
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Medication Prep and Use in OR

We are reviewing our medication preparation and anesthesia workflows in our L&D ORs and am curious how things are done at your institution:

Do providers draw up medications from vials into a syringe ahead of time (oxytocin, rocuronium, ondansetron) in anticipation of a case?
If so, how are they labeled, and what BUD is assigned (one hour vs 4 hours?)?
Additionally, how are they stored until use?

Do providers spike and hang IV fluid infusions (D5W, LR) in anticipation of use?
If so, what labeling is required (hang time, expiration time, BUD, etc)?

Do providers spike and hang IV medications (oxytocin, phenylephrine, etc) in anticipation of a case?
If so, what labeling is required?

Do providers draw up multiple medications into a single syringe?
If so, how are they labeled and what expiration/BUD is used?

What paralytic agent(s) are readily available in the ADS?

Thank you for your assistance.
Kelli

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