-How are your patients monitored, if at all, when they receive medications for pain or anxiolysis prior to imaging?
-Do you have criteria when a RN must accompany for monitoring?
-Is the primary RN monitoring the patient or is it a RN from MRI/CT?
-Are you using capnography?
Thanks in advance,
Stacie Ethington MSN, RN-BC
Nebraska Medicine

For those of you with outpatient pharmacies within your system, how do you notify patients that a medication they were previously taking has been automatically substituted to another medication? We are looking to prevent patients from taking both the old medication and the new substituted medication.

What is your process for patients who come to the pharmacy to pick up their med?

What is your process for patients who have their medications delivered to them?

Wondering if any facilities have a current policy on handling oral chemotherapy agents when patients are admitted from home for non-oncology indications. Does anyone hold these medications until an oncologist determines the appropriateness of continuing the medication? We have had a couple instances where the home medication was continued, but the reason for admission was an adverse effect of their oral chemotherapy agent. Anyone else have a process/workflow in place they would be willing to share?
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer

Hi Everyone,

There are a lot of different practices I'm seeing out there for management of insulin drip adsorption.

1. Let it dwell?

2. 20 ML priming flush?

3. No safeguard as it's being used with a carefully monitored titration protocol?

4. Other ideas?

We are currently exploring the idea of a flush, but are curious to hear from others.

Thanks,
Zach

Good Afternoon,

We are in the process of review/revision of our syringe pump drug library, specific for OR. Would anyone be willing to share their library?

Thank you.

With the increase in medications given EUA status for COVID, what is your process for receiving, monitoring, and communicating EUA updates and action items to involved staff? including regularly checking Fact Sheets and keeping the EHR systems updated. Thank you!

Sharing the survey results for this poll. "Our organization is re-evaluating our process around defining dosing weight in the electronic medical record. I would appreciate your response to this very brief poll (requires 1-2 minutes to complete). Responses will be shared."

https://forms.gle/DHEF29CxboFztKxg7

Hi All,

Following the ISMP Safety Alert from November 4, 2021, our institution is assessing our process for hypertonic sodium chloride solutions. We do allow for sodium chloride 23.4% vials to be stocked in secure cubies in the NeuroICU with a blind count and cannot be overridden.

We are curious regarding the differentiation of "hypertonic" and "concentrated" for sodium chloride 3% and sodium chloride 23.4% respectively. Initial feedback was that "concentrated" isn't typically associated with sodium chloride 23.4% and could cause confusion.

For those sites that utilize formaldehyde for OR cases (urology, surgery oncology) - can you share where you procure the product or any words of wisdom?
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Hello everyone,

I would like to have your valuable inputs on;

1) How to dispose the expired vials of Remdesivir Injections ?

2) How to dispose Covid vaccine vials?