What is the actual process for wasting controlled substances infusions at your nursing units?

Does the unit nurse measure out the remaining solution in both the bag and the tubing to document how much volume they are wasting?
If so how is it measured?

If it is not measured, what volume is used to document the waste?
From the infusion device or from the EHR?

Thank you for your insight.

Dears, I have a query about the repacked loose tablet medications in the brownish bottles for outpatient use, as you all know after repackaging all the bottles looks the same and the labels used also with same colors and fonts. the query is about how we assure the safety of using these medications as patients may receive two or three repacked bottles and all looks the same.we encountered many complaints from patients about this point despite each medication is labeled with the name and instructions.

Hi all,

For DNV hospitals, could you share what measure/metric you are using to track look-alike/sound-alike errors?

I don't want to use voluntary event reports.

Thanks!

Is anyone familiar with sterile saline irrigation being updated from being hypotonic to isotonic? There is a large body of literature that says irrigation and injectable are not interchangeable due to the irrigation being hypotonic. The current preparations of irrigation we stock are isotonic.

Looking for any updated information on this topic.
TIA!

Hello!

Our ambulatory infusion center has been dealing with frequent episodes of throat irritation in patients receiving ocrelizumab infusions. This is typically mild, however, can result in delays in care that can be up to several hours (to allow for pausing the infusion, potentially administering medications, restarting the infusion at a slower rate, titrating up, etc).

Have any of your sites that administer ocrelizumab developed any standardized ways of managing mild-moderate infusion reactions? Would you be willing to share your experience?

Hello!
As described publicly in this link, the Baxter Novum LVP pump has been available in Canada for a little while:
https://www.biospace.com/article/releases/baxter-canada-announces-first-...

I'm curious if any of our "friends up north" have experience with this device, particularly the LVP? If so, I would be interested in hearing your thoughts.

Thanks for considering!

Greetings,
Can you share what you have put in place for tranexamic acid safety specifically related to IV use?
I am familiar with the ISMP recommendations. I am curious specifically if you

Once a ready-to-use bottle of vasopressin is punctured and hung in a patients room, how long does your facility/system allow the vasopressin bottle to hang before replacing the bottle?

Thank you in advance,
Ernie

I wanted to try to connect with others who may have experience with moving from Cerner to EPIC or with experience working to help set up EPIC. I am interested in any tips for safety you may have to share.

Hello!

Was wondering what lab value other facilities use for Calcium replacement protocols. Ours currently tells RN to replace on either ionized Ca or corrected serum calcium.

However, RNs don't normally calculate corrected serum calcium and it seems ionized calcium is not something that's part of our main chemistry instruments in lab so testing isn't available (except we do get it in our ABGs).

What do other facilities use? Does anyone use serum calcium (not corrected)? I'd worry that we'd be prone to over correction if we did that...

Thanks!