How do you handle transferring a patient on a PCA? Our nurses wanted me to ask as they are thinking of restricting the practice.

Please share best practice when replacing the lithium battery in cactus smart sink .

Looking for an update on when the March briefing will be available to view on YouTube. Thanks!

I was wondering if anyone has any best practices with regard to the new ISMP Best Practices, specifically Best Practice 19-Layer numerous strategies throughout the medication-use process to improve safety with high-alert medications. Hoping for some suggestions so we can implement within our facility. Thanks!

Is there anyone that has a Just Culture Committee within their organization and would be willing to share your experiences with us? We are looking to be more transparent with this work and include frontline staff and multidisciplinary support. Any insights would be greatly appreciated!

Hello Med Safety Team,

Would anyone be interested in putting together an open letter in response to the RaDonda Vaught case? I feel a lot of us are disappointed with this case and I think this is an opportunity to speak up about just culture, the complexity of the medication use process, system failures, and risk-reduction strategies.

Best,
Allison

Allison Hanson, PharmD, BCPS, FISMP
Manager, US Medical Affairs
Worldwide Medical
Baxter Healthcare Corporation
allison_hanson@baxter.com

Hello, My health system sees limited pediatric patients. We are developing an insulin drip orderable for kids in DKA to be used while awaiting transfer to a nearby children's hospital. We use Baxter Sigma pumps; hence at the lowest rate (0.5 mL/hr), they may be off as much as 20%.

Key players are debating risks and benefits of using a non-standard insulin drip concentration (0.2 or 0.5 units/mL) in these patients given variability of pump accuracy at low doses using the standard 1 unit/mL concentration.

Hello,
Our facility has been able to update the Omnicell with the 5 letter character limit recommended by ISMP. We have sinced changed it to 4 letters due to some entries and the inability to change them. We also implemented this change on the anesthesia work stations? Has anyone else? What has been the response from anesthesia?
Thank you,
Jen

Smart pump/DERS question regarding HUMATE-P (Antihemophilic Factor/von Willebrand Factor Complex).

1. Do you have HUMATE-P built into your drug library? If yes, how? Is it built as an IVPB or syringe?
2. What is your process for nursing administration of HUMATE-P and other factors?

Hi Everyone,