CHSOS practice question · Domain I · Concepts in Healthcare as Applied to Simulation

Faculty asks you to stock the crash cart for a manikin code scenario. Which practice best protects real patients from simulation medication errors?

  1. Use expired hospital medications so labels and packaging look authentic
  2. Label every simulated medication and fluid For Simulation Use Only and store them apart from clinical stock
  3. Fill unlabeled syringes with saline to save preparation time
  4. Store simulation medications in the unit automated dispensing cabinet for easy access

Choose the one best answer, then open the explanation.

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Best answer: B. Label every simulated medication and fluid For Simulation Use Only and store them apart from clinical stock

Clear labels and physical separation stop simulation stock from entering patient care. Expired drugs remain active and create diversion and patient-harm risk. Unlabeled syringes break safe medication practice and teach a bad habit. Shared dispensing cabinets mix simulated and live stock.

Reference: FDA Safety Communication on simulated IV solutions, 2015; Crawford SB, Baily LW, Monks SM (Eds). Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice. Springer, 2019.

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