We recently had a medication incident due to a confusing regular insulin drip titration unit of measures in peds vs. adults patients with DKA - MD meant to order initial regular insulin drip (for ped patient) at 5.4 units/hr, however 5.4 units/kg/hr was entered.

Our peds initial insulin drip order has “units/kg/hr” as a default whereas our adults initial and maintenance insulin drip order has “units/hr” as a default. Note - We do not titrate insulin drip in peds but titrate IV fluid instead.

Hello all.... I wanted to update my previous thread to ask:

Can anyone share what their system set up their Alaris syringe pump module for pressure limits/occlusion limit settings are and are you using an inline pressure disc?

I was brought into this issue after limits were set-up by Nursing leadership and BD reps, so I am trying to ascertain what other people have their Alaris pump pressure settings at for the Pediatric syringe infusion meds to share? I think ours may be incongruent with what others might be doing.

Thanks!

Our institution has been using a heparin calculator integrated into Epic for several years, and it has proven to be clinically effective. However, we continue to encounter challenges related to the complexity of managing supratherapeutic and subtherapeutic lab values.

We are interested in learning whether other hospitals have implemented a more streamlined or simplified EHR calculator workflow. If so, would you be willing to share your approach or any tools you’ve found effective?
Thank you!
Rhonda

We recently went live with BD Alaris for syringe pump module only. We maintain a different brand for large vol pumps, which normally would run carrier fluids. Our Nursing leadership received info from BD rep that due to pressure differences, it was recc'ed to use the BD Alaris for carrier fluids - which means a 50mL syringe for carrier fluids. Has anyone else received this same information? In the interim, we are also looking for any reccs for 50mL prefilled NS syringes from a manufacturer or known 503b - Thank you!

please see other discussion thread

Hi all-
We have had a recent uptick in infusion reactions with Gamunex-C IVIG product at our organization and have reported to FDA MedWatch. I wanted to share with this group and see if others are experiencing similar reporting at their organization. Within a month time span, we have approx. double the amount reports we would typically see in a 12 month span. In reviewing reactions, the most common lot number involved in reactions seems to be 20gm vial size Lot B01J093362.

Hello-does your institution compound finasteride suspension? If yes, would you be able to share the mfr for it? I found some resources suggesting 5mg/50ml in sterile water but wanted to gather more data for it. Thank you!

Hello!
Looking to gather some perspective on other organizational approaches to the scheduling of IV antibiotics (i.e., around-the-clock vs. standard dose times)

Would you mind taking 2 minutes (or less) to complete this Form: https://forms.office.com/r/Cd17y3MAm1

Thanks so much in advance!
Emily

We have a request from our nuc med department to provide a vial of 23.4% sodium chloride for QC testing on one of their kits. Is anyone else doing this? If not, what are you using as an alternative (kit or QC method)?

Additional information: