Is anyone supplying naloxone to the morgue staff? We have had a request to provide to the morgue in case of exposure to unknown substances (topically or inhalation). If this is being provided were team members educated on use and who monitors expiration dates? Thank you.

Hi All,

A question was raised at our institution regarding best practices for flush and maintenance fluid compatibility with IV Bactrim. I am hoping to learn more about standard practices across the country with regards to this specific medication combination as the compatibility data is dependent upon concentration and time in-line.

Has anyone had success implementing a nursing compounding double check process for items compounded on the unit?

If so, can you share how you delineate your definition of "compounding" i.e. are vial to bag types excluded, entire vial administered, etc.

Of course we minimize unit-based compounding but there are times when it must occur for one reason or another.

Also, how do you document this in your EHR?

Thanks in advance!
Dana

I am located in Kentucky and our state organ donation group, KODA, has a paper they provide to nurses with "orders" for the organ donor to receive once care is turned over to the KODA team. This paper order has IV levothyroxine IVPB listed which is different than what my healthcare system utilizes. I was just curious if anyone would share what concentration, fluid, and BUD your system uses for levothyroxine IVPB and/or what is utilized for organ donor patients?

Thanks for the help!

Jamie Mahan

Our organization is in the process of converting all outpatient and inpatient topiramate oral solutions over the the new commercially available product. We use Epic as our EMR and wondering what safety measures other organizations have used to make this a safe transition.

On the in-patient units we were compounding to 20 mg/mL to match ASHP Standardize-4-Safety, but our out-patient pharmacy within the same organization was compounding to 6 mg/mL as requested by a pediatric neurology clinic that writes most of our prescriptions.

Any help or advice is appreciated.

Good afternoon!

What is your organization's formulary status for liposomal bupivacaine injection? If it is on formulary, how is it restricted?

Managing utilization safely is challenging, given the logistics of utilization in a surgical world and acute-on-chronic rolling shortages of unencapsulated local anesthetic alternatives.

Hello,

I wanted to reach out to see if anyone has increased the use of Midazolam while dealing with the severe lorazepam shortage. We are considering this and being very conservative with dosing. We are also increasing monitoring.

Is anyone able to comment on when ISMP's Guideline "Guidelines for Safe Medication Use in Perioperative and Procedural Settings" expected to be finalized?

Hello all,
Anyone willing to share their pump entries for KCentra? We are looking to update our entries to 2 separate weight range entries and would like to see how others program their pumps as we look to make the entries more nursing friendly.
Thanks,
Kyra

Hello all!

I’d like to hear what your experience is with usage of smart pump interoperability for carrier fluids and if you found ways to successfully accommodate nursing workflow.

A large amount of our non-compliant pump programming cases are related to normal saline for use with IVPBs. There are either zero attempts or failed attempts with ‘order has not been verified by pharmacy’ errors.