MSOS Discussion Board

Automated dispensing cabinets and narcotics

Allison Lively's picture

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We are currently in the process of updating our ADC policies and we are interested in knowing of any forced function features that are currently utilized by sites in the dispensing and removing of narcotics from ADCs to help minimize discrepancies. Our health authority currently has both Pyxis and Omnicell and some sites require a double witness on narcotic removal from the ADC while others do not. Just wondering what strategies other sites use (i.e. daily cycle counts)?

Patient-Managed Prandial Insulin Dosing

Daniel Kudryashov's picture

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Our Endocrinologists are advocating to allow some hospitalized patients to manage their prandial insulin dosing based on carb counting and carb ratio. I am familiar with nursing-driven carb counting protocols, but not patient-driven. I would appreciate your responses to the below questions:

Lumason (or Definity) Reactions

Anjali Todd's picture

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Hello!

We switched from Definity to Lumason in January 2022 and for the past several months have experienced significant adverse reactions. We made a few adjustments to its use but recently had another major reaction. Has anyone else experienced this?

We met with the manufacturer who indicates there is no increase in adverse reactions over the years and confirmed product safety. However, our experience will likely result in changing products...

IV Push insulin

Heather Queen's picture

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I am looking for feedback on how other facilities handle orders for IV Push doses of insulin. Do you allow nursing to draw up the doses on the floor or require pharmacy to draw up these doses? If so, do you dilute the doses or just draw up the ordered dose in a luer lock insulin syringe and instruct the nurse to flush post injection? Appreciate any feedback. Thank you!

Ambulatory BCMA

Emily K D'Anna's picture

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Hello! for those that have implemented Ambulatory BCMA...

Do you prepare your medications and immunizations at the patient "bedside" (i.e., in the patient exam rooms)?

Or do you prepare them in a "medication preparation space" and then bring to the room for administration?

...Recognizing that best practice inpatient is for scanning to happen closest to the patient - but worrying about how this translates to ambulatory practice. (cleanliness, no interruption zone, peds patient, centralization of meds / product / supplies)

Thanks!
Emily

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