Hello,

Posting for one of our HPSAL residents, Robin Cullen, on rotation with me...Might anyone be able to share their process or risk-assessment algorithm in whether to sequester/quarantine a product lot when staff have identified a product quality concern?

For those who are an MSO for a healthsystem (or for more than one facility)- can you share what your reporting structure is ?
To whom do you report directly ?
DO you report (dotted line) to anyone else ? If so who ?
Do you have any direct reports of your own ?
If so - how many and titles ?

thank you in advance !!!

Laura Monroe-Duprey
System Medication Safety lead - INOVA

Has anyone reviewed the new update by Alaris? This update from July 15, 2022 incorporates updates to prevent cybersecurity vulnerability but is incorporated with the original update from Feb 4, 2020, which is still not approved by the FDA. Is anyone planning on discussing, or implementing this update? or is anyone planning in purchasing new pumps?

Hello,

My hospitals do not employ a CDE, nor to they have regular consult assess to an endocrinologist. We are re-evaluating our patient own subcutaneous insulin pump policy, and based on the 2016 ISMP recommendations, I am concerned about our ability to provide the safest care to patients by allowing personal insulin pump use in house without specialist oversight/consultation. Have other organizations successfully supported patient personal insulin pump use without CDE or endocrine specialists assisting in the care of these patients? Insights much appreciated.

Hello!
I wanted to see if anyone had a P&P for assessment on admission for those that avoid medications due to cultural or religious objections to pork or broader cultural assessments on admission. We have a policy but have had issues putting it into action and assuring the right questions are asked before medication administration.

Thank you!

Christa

Hi All
We have a new fetal surgery program that is starting and the surgeons are requesting a few medications to administer to the fetus. The request is to mix 3-4 medications into 1 syringe in order to reduce having to access the fetus and interupting the sterile field. We are reaching out to some other institutions that supposedly do this, but curious to see if anyone else does fetal surgeries and how they supply the medications for the fetus.

Hello All,
Does any one have a medication administration policy detailing their process for pre-operative medications? In my institution, the pre-op nurses pull medications from the ADC for the providers in the OR to administer but they are under the mindset that the same person that removes the medication should be administering it. Any help would be greatly appreciated.

Hoping to learn what others are doing to provide respiratory therapy access to refrigerated nebules (dornase, tobi). Presently, respiratory therapy has access to the Omnicell refrigerator to access these medications on units where stocked, but we were cited by ASHP on recent accreditation survey and asked to review our process.

Also, do you have a specific policy that addresses respiratory therapy access to medications? We have a general policy and a list of medications approved for respiratory access but no specific policy.

Thanks for any info you can share!

Don

When a Mom is discharged and then stays with the baby until they are discharged from the hospital, do you perform any assignments on the Mom since they can be more drowsy (risk of mom falling asleep w infant in her arms) ie POSS score?