Enhanced Compat Mode

Enhanced Compat Mode is a web-based tool designed to streamline IV medication management in critical care. It dynamically groups medications into compatible configurations, minimizing the number of lumens used while respecting strict compatibility rules. By offering options for Stacked and Separated, it adapts to real-world scenarios, accommodating multiple secondary infusions or enforcing strict safety measures. This tool simplifies complex decision-making, saves time, and enhances patient care through an intuitive and efficient interface.

Scroll down and select your mode by clicking the icon. For a more in-depth explanation of each sub-mode, scroll below the icons.

Version history, updates, and known issues.

CompatCheck

If you are interested in purely reviewing compatibilities, check out CompatCheck.

Stacked Mode

Separated Mode

Should I select Stacked or Separated Mode?

Stacked Mode is ideal for optimizing lumen usage by accommodating multiple secondary infusions on the same lumen. It allows secondaries, such as IVPB medications, to share a lumen even if they are incompatible with each other, as long as they are compatible with the primary infusions in the group. This mode assumes the nurse is confident that the secondaries will not run simultaneously, avoiding any risk of mixing incompatible medications. The algorithm enables secondaries to break the usual rule of a maximum of three infusions per lumen, ensuring compatibility with the primaries while grouping the largest number of medications possible.

For example, a patient receiving vasopressin, potassium phosphate, and magnesium sulfate can have all three infusions assigned to the same lumen in Stacked Mode. Although potassium phosphate and magnesium sulfate are incompatible with each other, they are both compatible with vasopressin, and since they will not run at the same time, they can share the lumen.

Separated Mode enforces stricter compatibility rules, prioritizing safety in scenarios where multiple secondary infusions are expected to run simultaneously. In Separated Mode, all infusions within a lumen, including primaries and secondaries, must be compatible with one another. This ensures that incompatible secondary medications are never grouped together, even if they are individually compatible with the primary infusion.

For example, a patient receiving norepinephrine, vancomycin, and piperacillin-tazobactam (Zosyn) can only have compatible medications grouped together. If vancomycin and Zosyn are incompatible, Separated Mode will automatically assign them to separate lumens to prevent any risk of adverse interactions. This approach is particularly useful for patients requiring multiple antibiotics or electrolytes administered simultaneously.

Disclaimer

Warning: This tool is a beta product intended for educational purposes only. While it is designed to assist in understanding and exploring IV medication compatibility workflows, it has limitations that users should carefully consider. Certain nuanced or situational interactions/compatibilities may not be accounted for. Additionally, medication formulations can vary between manufacturers and may change over time, potentially leading to compatibility issues in specific circumstances.

This tool has not been fully refined, rigorously tested, or wholly verified for clinical use. It is not a substitute for clinical judgment, official compatibility references, or your institution’s protocols. Always cross-reference with updated guidelines and manufacturer information before making clinical decisions. As an educational tool, it serves to provide insights into compatibility grouping processes but should not be relied upon for patient care. Use it responsibly and with appropriate caution.