Hello,

We currently have our parenteral nutrition (PN) entry in our Baxter pump to be built as "PN Central" and "PN Peripheral". After identifying a low compliance with the pump entry and discussing with our nurse educators, we have started the conversations of developing a more user friendly entry for nursing to look-up. I am curious what entry nursing is to select on the pump when administering PN. Any pros/cons you have experienced with your current build?

Make it a great day,

Pierce Buzzi-Davidson

I know there have been some posts regarding how to best handle medications that are restricted and clearly show them in the EHR for all healthcare providers. For those of you who have epic, it would be worthwhile to have your informatics members vote on the idea below so Epic can improve patient safety by making some changes to their foundation build.

https://ideas.epic.com/XGM/Idea/#55659

Wondering what other organizations do to support real time wasting when it comes to tablet cutting at the ADC. Our compliance department feels the pill cutters should be single patient use, which makes sense if the enter a patient room, but when used in a clean med room I'm not so sure? Our nurses don't want to clean the cutter between uses due to risk of cut with the blade. What does your organization do?
Thank you,
Stacie Ethington MSN, RN
Medication Safety Nurse Specialist

Interested in hearing if any sites which utilize BD Optima for home infusions, have encountered issues with their Infusion Clamps (N35-0, N40-0).

We’ve encountered situations where the clamp can be placed backwards, which can then force separation between injector and connector, and results in the pump not running correctly. We’ve engaged BD Carefusion on this topic, but would appreciate hearing from other sites if you’ve experienced this challenge as well.

Thank you,

Matt

Good Morning -

We are combining lists for LASA as we integrate as a System. One of the discussion points is the addition of Biosimilars to the list. For the most part we are using the naming as generic (brand) for these agents when character limits allow.

Have others added these to the LASA list or as a separate list within the policy?

Do you do all the available agents or just the ones on formulary.

Thanks

We are working to systematically remove brand names from all internal pharmacy documents but are on the fence about resources used by nurses for example: Override list, High-Alert list, etc. We are removing the brand names from Pyxis for most meds as well. thoughts?

Hi all-
For inpatient pharmacies: how are you handling multi-dose meds that are not coming sealed from the manufacturer? Do you add tamper resistant tape/label? We have multiple inhalers and eye drops that are not sealed; if they come back to pharmacy, we need to ensure have not been used to add back to inventory. There is concern about workload of adding tape to both ends of boxes etc. Any other ideas? Thanks- Mary

Hello,
We are considering the addition of shrink wrap to all NMBA vials. There are many other threads on MSOS regarding this topic, however, none of them address 2 questions that have come up during our process for consideration:
1) Has anyone looked into the concerns around applying heat to medications that require refrigeration. Reportedly we have heard from some manufacturers in the past that they can not guarantee integrity of the product if heat is applied.

Hi, all -
Looking to get some insight on how other sites have configured their CPOE systems for Suboxone.

-Do providers select a specific strength and order in terms of numbers of "film"?
-Do providers order in terms of "mg" or "mg of buprenorphine"?
-Have any Epic users started using the new functionality allowing IMS for combination drugs?

Appreciate your thoughts!
Kelsey Keeley

We have providers asking for pharmacist order entry during multidisciplinary rounds, noting it is safer than them doing delayed order entry after rounds. The rounding providers wish to focus on the patient not on their computer for order entry during rounds.

Does anyone permit pharmacist entry of verbal orders on rounds? If yes,