Discourage Stocking Sterile Water 1 L Bags Outside of the Pharmacy

You'll see more emphasis on limiting IV administration of hypotonic fluids...due to a new ISMP med safety best practice.

We know administering IV sterile water increases the risk of hemolysis...which can lead to organ damage and death.

But mix-ups between sterile water bags and other similar-looking fluids (normal saline, etc) can lead to accidental IV administration.

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