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  • 1.  Compounding Lidocaine and Sodium Bicarb

    Posted 06-26-2025 15:11

    Hi All,

    In 2017 there was a thread that addressed nurses and medical assistants compounding lidocaine and overall the consensus was it was not recommended. I am following up to determine if that is still the practice given the changes in 2022 to USP 797 that allows for immediate use compounding where a delay in care could harm the patient. Are any of you compounding lidocaine with bicarbonate for use in dermatology, orthopedics or other clinics? If yes, who performs the compounding? RN, LPN, MA, paramedic? Thank you. 



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    Diane Garry RN
    USF Health
    Wesley Chapel FL
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  • 2.  RE: Compounding Lidocaine and Sodium Bicarb

    Posted 06-27-2025 10:13

    We do not because we aren't drawing up on demand (Derm practice). If it were to be done, I would think it would have to be a nurse as it is out of the scope of practice for an MA (NY). 



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    Lauren Crociata BSN RN
    Stony Brook Dermatology Associates
    Stony Brook NY
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  • 3.  RE: Compounding Lidocaine and Sodium Bicarb

    Posted 06-27-2025 11:44

    Hi Diane,

    RNs and LPNs are compounding in some of our clinics. However, with the help of our pharmacists, the RNs and LPNs had to complete training and competency this last January as a Joint Commission requirement. We will provide annual training from now forward. Our MAs do not compound. 



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    JULIE KLOEPPEL
    MetroHealth Medical Center
    Avon OH
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