Bivalirudin IV Pump Guardrails

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

3 posts / 0 new
Last post
Fiona Lui
Fiona Lui's picture
Offline
Last seen: 1 day 22 hours ago
Joined: 08/08/2024 - 15:28
Bivalirudin IV Pump Guardrails

We are re-evaluating our bivalirudin guardrails after a medication error.

Currently we have two library files
Bivalirudin (HIT) & Bivalirudin (PCI), the soft maxes were both set at 1.76 mg/kg/hr and we were planning to lower the bivalirudin (HIT) soft max to 0.6 mg/kg/hr.

Additionally, we were going to rename the (HIT) library file because we are using bivalirudin for indications outside of HIT, like ECMO, but were not coming up with a good alternative name.

Interested in hearing how others differentiate PCI vs non-PCI library selections for bivalirudin in their pump guardrails & their soft maxes?

Thank you!