Hi,
We are an EPIC system, with Alaris pumps. We're trying to come up with a good way for nurses to know to drop the amiodarone dose from 1 mg/min to 0.5 mg/min after 6 hours. Often the infusion nis started in the ED, so the patient may be on a different shift on a different unit by the time it's time to turn down the rate.

Have any of you solved this problem?

Thank you.

Hello,

My institution is currently looking at configurations for Omnicell and we are seeking feedback from users of the Omnicell Controlled Substance Dispenser XT Version.

If you have them: Do you use them for all stations? Procedural vs inpatient?
Pros/Cons to use?

I appreciate any info you can share!

Feel free to reach out to me here or via email: Janine.Smentkowski@pennmedicine.upenn.edu

Hello,

Wanted to query the group. For those who use Omnicell's AWS units in their periop areas, what is the designated time that you have before providers "time out" and the system logs them out? Basically, how long do you allow the AWS to go untouched before it logs the provider out? We experienced serious push back from our providers with the recommended 5 mins from Omnicell and we understand that. But we think the time they asked for is a bit unreasonable and has led to other issues when they remain logged in for so long.

Looking forward to hearing from you.

Wondering if anyone has a template or outline that your facility or system uses to present individual event summaries to committees? We've asked that our facilities share significant events at our system Med Safety Committee, but we would like to provide some structure around it. Maybe not a form per se, but potentially a list of recommended speaking points that can be shared during the brief presentation.

Thanks!

Hi All
We are seeing an increased use of IV midazolam on the acute care floors (likely due to the IV lorazepam shortage). There have been several questions on whether the use of IV benzodiazepines is restricted/allowed outside of the ICU. We currently don't have any restrictions on use (other than for continuous benzodiazepines).

Does your institution restrict how/when/where IV benzodiazepines can be used? If so, can you please share.

We occasionally see pharmacy dispensing errors in the NICU population where the dose is drawn up instead of the volume. Both are prominent on the Epic label. We've asked to have them put on separate lines but were told that wasn't possible.

Usually these involve 10-fold errors involving very low volumes... so for example PO clonidine: The dose is 1.7 mL and the volume is 0.17 mL.

Since we don't have any technology in place that can detect this type of error on PO meds, I'm pretty concerned.

Hello All,

Would anyone be willing to share your current workflow and/or policies on the administration of IV push regular insulin? Does pharmacy draw up all IV Push orders for regular insulin and dilute to "X" ml in a luer lock syringe? Do you allow the nurses on the floors to draw doses up and expect them to dilute the dose or flush after administration? Any info is appreciated! Thanks!

Heather Queen
Medication Safety Pharmacist
heatherq@fmchealth.org

Does anyone have a policy or guideline for how they are using closed-loop insulin pumps and how they are charting them in EPIC?

Is anyone willing to share their oxytocin orders that include compliant titration parameters and goals?