We recently had a request to add mL in addition to units for compounding software in IV room. This is concerning with markings on the syringe (not insulin syringe) as well as 100x dosing errors.

For those of you using OmniCell integrated with Active Directory, how many hours do you have your fingerprint inactivity aging set to? Do you have different settings in your AWS/OR cabinets? We are reviewing our security settings and wondering how our setting of 96 hours fits with what other hospitals are doing. We would like to shorten to 12 hours but getting some resistance from anesthesia and the OR area. Additionally, do you require password when the user has aged off or just fingerprint?

Thanks for sharing and any insight you can provide.

Amanda

How does your EHR display concentrated insulin U-500 to distinguish it from other insulin orderables?

We are revising our patient home med policy and wanted to see what others were doing in regards to destruction of patient home meds. Please let me know which process you follow and I will summarize for the group.

Process #1
• Do you destroy the meds a certain number of days after admission (e.g. 30 days) regardless of if the patient is still in the hospital?
• If this is your process how do you ensure the meds do not get destroyed for those patients that are still in house after the cutoff date?
• What challenges have you had with this process?

Hello,

Curious to see if other organizations find challenges in ensuring that meds which are restricted to certain floors/levels of care (e.g. ICU only, telemetry only) are not accidentally ordered/inadvertently given on floors where they are not allowed (e.g. a med restricted to ICU is ordered and given on a normal med-surg floor)

Hello

Would anyone be willing to share a copy of your institution's current USP 797 and 800 cleaning logs? I would love to confirm we are on the right track.

Thanks everyone in advance
Amy

Amy Kauffman, PharmD., BCPS
Central Peninsula Hospital
250 Hospital Place
Soldotna, AK 99669

Hi everyone,

My institution has just purchased B Braun syringe pumps to be used by our transport team on pediatric patients. In the process of building out the drug library, we have realized there are many limitations with the build for bolus from syringe. Would anyone that has B Braun pumps and has the bolus feature enabled, be willing to share how you decided on your limits to overcome some of these challenges/safety concerns? Or if you decided not to enable the bolus feature at all due to these, would appreciate hearing that feedback as well!

We're a pediatric hospital and it seems once a year this issue comes up. Many years ago someone built a link in Cerner (patient profiles) to a high-risk dosing calculator. Over the years we've had problems in identifying owners for maintenance and we've recommended not "using" this tool until we can get someone (IT/Informatics) to own maintaining the tool.

Pharmacy has recommended their typical references (such as Lexi) as their check. I believe many of the nurses are using it to double check their own math when dealing with high-risk drugs (ex: opioids, electrolytes, etc).

Hi all,

We recently implemented the use of 503(b) compounded phenylephrine syringes for increased safety in our perioperative settings but are encountering concerns from our Billing team.

They are referencing that CDC and CMS guidelines for SDV's specifically say you cannot share Single Dose Vials (SDV) with multiple patients and because these vials were made from SDV at the compounder we may not be reimbursed for them when used in the Periop/ED settings. Also, that their use could even jeopardize the reimbursement of an entire OR case.

We use BCMA for several items that could be used during diaper changes: zinc oxide (Desitin), nystatin powder, etc.

If you are an organization that does this as well, do you allow CNAs do apply such products during diaper changes? I do worry about scope of practice. Is anyone using a protocol or something similar to allow these non-licensed staff to do this task? If parents are using these products during diaper changes, how do you capture that documentation--back-charting?

Thank you,
Stacie Ethington MSN, RN
Nebraska Medicine