Hi all,

I hear from our staff that our event reporting form is cumbersome and time-consuming, presumably leading to decreased reporting. I fully agree with them, but have not gained support from our risk management team (who "owns" the reporting tool) to make any changes. Our medication/fluid report has at least 31 total fields, and 17 are required. I've attached screenshots with some things answered to give a feel for what the answers to some of the questions may be.

The point here:
How many fields does your med event form have?

Hi All,

We had a recent safety event where a patient did not know he needed to push down the Lovenox syringe to get the dose needed, so he was injecting the full syringe. Our Med Safety Committee is reviewing ideas of how to improve our education on this topic. Do other institutions have "kits" that a patient can practice with or how do you achieve this important education piece? We are thinking of putting together a kit for each unit to utilize so a patient can have more hands on practice.

Thanks!

I have always been a big fan and believer in LR over the use of NS. I am in the process of having discussions with my medical director about switching from NS to LR as our primary IV fluids.

Has anyone had any type of bad interaction with administering LR to a patient or have any other insight on NS vs. LR?

We are implementing Vial2bag system with the goal of stocking drug vial in ADC, and the diluent plus adapter stocked nearby in the medication room. A question comes up around labeling after the nurse connected the adapter. For those that have a similar bag and vial adapter process in place, could you share your process for labeling (e.g. no labeling needed, vs handwritten label, printed label, other)? Thank you.

Is anyone willing to share their downtime procedures for IV pump interoperability with Epic?

Good Morning All,

We're looking at tightening up our auto-verification of medication order procedure. Was curious if anyone would be willing to share their policy dealing with auto-verification, specifically which med orders your organization allows to be auto-verified and which meds or classes you mandate pharmacist review and verification?

Thank you for your consideration!

Good Morning All,

We're looking at tightening up our auto-verification of medication order procedure. Was curious if anyone would be willing to share their policy dealing with auto-verification, specifically which med orders your organization allows to be auto-verified and which meds or classes you mandate pharmacist review and verification?

Thank you for your consideration!

Inserted in this message is a photo of the new rounded dosing, which is included in the "kit" for 25mg Tenecteplase.
I understand there are some rumblings about using other dosing than what the FDA approved- is anyone planning on using other dosing than what will be nurse facing on the vial and dosing card ?

If so, how are you managing the vial and dosing materials provided by FDA/MFR ?

SEE SURVEY BELOW WHICH IS EASIER TO COLLATE AND TAKES 1 MINUTE TO FILL OUT !

thanks !
Laura

Hi Everyone,

Does anyone allow patients to bring in MDVs of Testosterone filled at a retail pharmacy to be administered in the office? If you do, how do you manage these vials (BUD, transfer devices, etc)? Are you sending back with the patient or storing on site? At what points do you require a witness?

Thank you,
Kasey L'Heureux

I was wondering if what diluent everyone uses to reconstitute plain hydrocortisone vial . The Pfizer package insert and also their Medical Information confirmed to use bacteriostatic water or bacteriostatic sodium chloride only and they do not have recommendations/data to use SWFI or NS to reconstitute. I was wondering if anyone can share what they are doing? Are you utilizing SWFI to reconstitute the plain vial? And if so, do you have any data to support? Thanks in advance!