For those interested in joining today's MSOS Briefing webinar, here is the registration link to sign up: https://ecri.zoom.us/webinar/register/WN_uQOO_Hg9Q4y8y9h6R_h-PA

Topics:
The Fellowship of the Pumps: Pump Integration System-Wide
Supporting Safety During Code Response: The PALS Copilot app
ISMP Update

Hope to see you there!

Does anyone have a policy or order set you could share for management of patients undergoing thrombolysis?

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

One of my facilities frequently administers methocarbamol slow IV. Recently, they acquired the generic product from Somerset Therapeutics and have had a few instances of phlebitis, even when diluted and given very slowly. I'm reaching out to see if this is an isolated issue or if other facilities administering slow IV push have noted an uptick in phlebitis. Of note, they have not had this issue in the past with the brand name product.

We’re exploring opportunities to expand our medication safety team and would appreciate insights from other organizations.

For those of you with multiple team members working under the umbrella of medication safety:

-What titles do you use for those roles?

-Do you have more than one Medication Safety Officer?

-Are your team members titled as Medication Safety Pharmacists, Nurses, Coordinators, or something else?

Any details on structure or role differentiation would be incredibly helpful. Thanks in advance for your input!

I work for a large healthcare system with both 24-hour and non-24-hour pharmacy locations. Our current order for priapism management is phenylephrine 200 mcg/mL 10 mL syringe prepared by pharmacy. We have lots of issues with this being ordered in sites when pharmacy is not available. Timely administration is important so getting from another site does not seem feasible, 797 BUD regulations prevent us from making and storing this ahead of time, and concentrations lower than 100 mcg/mL are not clinically preferred.

Hi,

We've seen an uptick in sending the incorrect volume of a medication to NICU in the 1ml amber syringe. Any institution using an amber syringe? How do you mitigate the incorrect volume as it can be difficult for some folks to read the volume.

Hi,

We recently had a patient who brought in the ketamine troche that needed to be refrigerated and had to be used during admission. We currently don't have a process how to handle this. One idea came up to store it in a small lock box and put the lock box in the locked fridge on the unit. Does anyone have a process for this?

We have had a number of reports in last month related to Embecta insulin pen safety needles detaching or retracting before administration and coming apart. Upon investigation it seems like the threads on the insulin aspart pen barrels/tips are stripping. The needles can spin endlessly on the pen vs. lock/click in place. The aspart pen threads do not go all the way around the pen like insulin glargine or NPH; instead, there are flat areas which I think allows the pen needle threads to keep spinning and eventually strip.

Hello,
Looking to connect with a colleague on BD's Pyxis MedStation ES Medication Label Module (patient-specific labels print upon item removal). Does anyone have experience with piloting or implementing this technology?

Please reach out, thanks!
Carley

Hello,

Recently on the ASHP Compounding forum some FDA findings for outpatient pharmacies for using household cleaners (like Dawn) to clean their equipment for non sterile preparations. Reaching out to inpatient facilities, what do you use to clean your beakers and graduated cylinders? Do you use regular dish soap or specific approved cleaning solutions? What is the rationale behind your approach?

Thank you,