If a nurse needs to hand-off controlled substances (e.g. pharmacy prepared medication drips) to be administered during the incoming shift, how have organizations tracked this handoff to ensure appropriate chain of custody documentation?

Good morning all,

At our hospital we had near misses where obese pediatric patients ordered weight based meds with an unsafe dosing due to patient weight.

Currently we have following context in EPIC
- Any patient < 15 years: pediatric context
- Patients 15-21 years AND <= 40 kg: pediatric context
- Patients 15-21 years AND > 40 kg: adult context

Hi all,

I had a quick question and I'm not sure if I'm thinking about this right so any comments would help me take any next steps to rectify the issue.
So we are sending up our Mannitol vials with 0.2 micron filters (not the infusion set, just the filter) however our order instructions state " Use a 0.2 micron inline filter infusion set." It almost seems that us sending up 0.2 micron filters with the vials and then telling them to use a 0.2 micron inline filter infusion set may be problematic as to what they should be doing. Thanks for any clarification.

Would anyone mind sharing their critical results policy?
Does it address the process/workflow that is used when a surgeon is in the middle of surgery?
TIA

Hello all,

We are evaluating our tPA administration process for stroke and are interested in what other facilities are doing, specially in how your bolus is administered.

If you have a moment to complete this brief survey, I would be grateful! Willing to share results to those that also complete the survey.

https://forms.office.com/Pages/ResponsePage.aspx?id=bvPUxCdsp0KouPRl8Oda...

Thanks!

How do you handle dispensing of dinoprostone (Cervidil) insert at you institutions? Do you assign a BUD date on removal from the freezer? If so, what is the BUD date?

We are looking for a clinical decision support for heparin drips, though this seems to be a recurrent topic. From what I have gathered (here and with a lit search), I can only find CDS for heparin drips that are either "home grown" or available within EPIC.

Can we look at the following questions:

We are currently writing a new policy for Biosimilars. Is anyone willing to share their policy? Thank you!

Kristen Post
kristen.post@nicklaushealth.org

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