20 mL syringe syringe. Tubex and Carpuject cartridges: These are special pre-filled cartridges produced by two specific companies that can be dropped into a plastic injector with a plunger for injection. The ones we will encounter in this class will have markings every tenth of . cases where risk vs benefit needs to be assessed in deciding whether to use alpha gal medications. (pre-filled syringe) Fresenius Kabi Yes Hydromorphone 1 mg/mL injection (Compounded) DCF Yes (Carpuject) Hospira Yes Lacosamide injection (all strengths) UCB Yes.
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So why are Carpujects used? Is it to help control drug diversion? Is it somehow safer? I am so confused about the purpose of them because it doesnt change the way you administer the med. If its ordered for IV push then you push it I have google it but no answers Oct 9, I hate those things, so I jerry rigged a plunger to fit inside the back end of the vial.
Or u can just draw the med up into a regular syringe. Testa Rosa, RN. Has 6 years experience. I like using my Carpuject when I can because it saves the step of having to draw up morphine into a syringe. However, it is against policy at my hospital to use anything smaller than 10cc syringes on central lines, so I draw up the morphine for those pts.
When I have a pt with a PIV who needs morphine, I reach for the Carpuject and and click the skinny morphine vial into it, and it saves me a step. If that pt needs morphine Q2hrs that saved step adds up so I find the jects valuable timesavers I don't see them laying around our med room anymore so am hanging on to my last one.
Worried where to get another one once this one disappears on me. Accidentally threw away my preceptor's Carpuject into the sharps container in nsg school I was SO embarassed!!!! I understand how to physically use it but I wanted to know why. I wanted to know what is the point of using a carpuject when you can just draw it with a syringe and needle. I didnt know if there was some type of research behind it. I saw something online about it being used by facilities for drug diversion control but I am not sure how or why.
It's simply a type of unit dose. I didn't write down the date they were a huge improvement over having to use ampules; they also cut down a step in giving meds by not having to draw up the meds.
If you like drawing up meds, you just snap off the needle assembly, and you have a stopper top. It's just a time saver, once you know how to use it. I have been given several and have managed to "lose" all of them. To me a syringe and an 18g is so much quicker but then I'm not great with anything resembling something mechanical. Somehow the plunger end always gets caught on the end of my carpuject and I end up spending another 5 or so minutes trying to free my carpuject from the used vial.
I really like them. I don't find them difficult to use, and not having to draw up the med is a huge time saver. Specializes in FNP. Has 25 years experience. When they first came out in the late 80s , the packaging allowed for only the unit being removed to have the seal broken- so it was easier to see at a quick glance if something was missing. Not like the boxes of 25 ampules or vials vials being easier for diversion, as some would refill with normal saline and somehow reattach the plastic top well enough to get by.
There was a grouping of 5 units per plastic "frame"- the top plastic notch was sort of like the old cassette tape or VHS tape tabs- and once removed, not replaced without being obvious. Tubex units had fairly flexible rubber covers over the needles; Carpuject had the hard plastic- two different brands, that were not interchangeable in the holders when they came out I think Tubex was first, as Carpuject became somewhat more preferred because of the removable needle unit, and ability to use it as a vial.
Tubexes didn't have the option to remove the needle so not a needleless system in the 80s, though were viewed as preferable with the growing AIDS problem in the mid- late 80s, and the acceptance of Universal Precautions, and not recapping syringes. Needleless systems didn't really become standard until the mid-late 90s Ours come in individual plastic tubes with a paper seal, so not really possible to open without breaking the seal Threw it in the sharps container the first time I used one - THEN I swore very loudly in front of my pt and my preceptor.
Fortunately, my preceptor was very calm and cool, and so was my pt. After getting the initial blush out of the way - for throwing the carpujet away or swearing, I'm not sure - we all got a pretty good kick out of it TWO lessons learned on that one! Has 10 years experience. I hate 'em. I just use the plunger from an insulin syringe Much easier. I don't know a single nurse who uses them.
Sign In Register Now! Search Search. Nurses Medications. Confused about Carpuject??? Posted Oct 9, Prev 1 2 3 Next. Which part of carpuject confuses you? The blue holder? Just twist to click in, and twist to click out.
They are kind of annoying. It's just a delivery device designed for use with tubex-es. How do you feel it provides a control or deterrent against diversion? I don't understand how carpujects could possibly cut down on diversion. Why risk drawing up something with a needle when you can have a needle-less system? Try it, it really is quicker : ETA: Nurse safety and reduces potential contamination. I think the point was to go needless Open An Account To Comment.