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<p class="MsoNormal">Good afternoon,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">While rounding on the units today, I found multiple used pill splitters in the medication rooms. Photos of some of the findings are included below.<o:p></o:p></p>
<p class="MsoNormal"><b><o:p> </o:p></b></p>
<p class="MsoNormal"><b>Policy CM M-03, Medication Administration/Dispensing-General, Section Q.1 (page 13)</b> states:<o:p></o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l0 level1 lfo1">Tablet splitters <b><span style="background:yellow;mso-highlight:yellow">must not</span></b> be shared between patients.<o:p></o:p></li><li class="MsoNormal" style="mso-list:l0 level1 lfo1">After use, tablet splitters must be thoroughly cleaned using warm water and stored in a clean zip lock bag in the patient’s room.<o:p></o:p></li><li class="MsoNormal" style="mso-list:l0 level1 lfo1">For SUWA/SACO/Behavioral Health admissions, tablet splitters must be stored in the patient-specific bin in the medication room.<o:p></o:p></li><li class="MsoNormal" style="mso-list:l0 level1 lfo1">Preparation surfaces should be cleaned with hospital-approved disinfectant wipes following dose preparation.<o:p></o:p></li></ul>
<p class="MsoNormal"><b><o:p> </o:p></b></p>
<p class="MsoNormal"><b>DNV will be surveying soon.</b> <span style="background:yellow;mso-highlight:yellow">
Please have these removed from all med rooms immediately</span> and reinforce these requirements with staff and check medication rooms to ensure pill splitters are cleaned, assigned to individual patients, and stored appropriately. Any used splitters whose
patient assignment cannot be confirmed should be removed from use.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="mso-ligatures:none"><img width="237" height="316" style="width:2.4687in;height:3.2916in" id="_x0000_i1025" src="cid:image001.jpg@01DD54E3.ED6BD780"><img width="235" height="313" style="width:2.4479in;height:3.2604in" id="_x0000_i1026" src="cid:image002.png@01DD54E3.ED6BD780"><img width="234" height="312" style="width:2.4375in;height:3.25in" id="_x0000_i1027" src="cid:image003.png@01DD54E3.ED6BD780"><img width="232" height="309" style="width:2.4166in;height:3.2187in" id="Picture_x0020_3" src="cid:image004.png@01DD54E3.ED6BD780"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you,<o:p></o:p></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Garamond",serif;color:#1F497D"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Garamond",serif;color:#1F497D">Michelle A. Lonkey,</span></b><b><span style="font-size:14.0pt;font-family:"Harlow Solid Italic";color:#1F497D">
</span></b><b><span style="font-size:14.0pt;font-family:"Garamond",serif;color:#1F497D">MBA, CHOP-B</span></b><b><span style="font-size:14.0pt;font-family:"Times New Roman",serif;color:navy;mso-ligatures:none"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:navy">ISO Management Representative</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:navy">Upstate University Hospital</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:navy">Hospital Administration</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:navy">750 E. Adams St., 1218 UH</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:navy">Syracuse, NY 13210</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:#1F497D">(315) 464-6128</span><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Calibri",sans-serif"><a href="mailto:lonkeym@upstate.edu" target="_blank"><span style="font-size:10.0pt;font-family:"Garamond",serif;color:#222222">lonkeym@upstate.edu</span></a></span><o:p></o:p></p>
<p class="MsoNormal"><span style="mso-ligatures:none"><img border="0" width="94" height="94" style="width:.9791in;height:.9791in" id="Picture_x0020_1" src="cid:image005.png@01DD54E3.ED6BD780"><img border="0" width="85" height="85" style="width:.8854in;height:.8854in" id="Picture_x0020_2" src="cid:image006.png@01DD54E3.ED6BD780"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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