We’d like to know how other organizations handle a patient that received Exparel, bupivacaine (liposomal), went home and came back into organization (ED, Ambulatory, Inpt) within 96 hours…does their system alert them that the patient received exparel within the last 96 hours?

We’d like to know how other organizations handle a patient that received Exparel (bupivacaine liposomal), went home and came back into organization (ED, Ambulatory, Inpt) within 96 hours…does their system alert them that the patient received exparel within the last 96 hours?

When you compound your chemotherapy preparations, do you account for overfill vs the final labeled volume?
1. Remove "estimated" volume of overfill.
2. Add "estimated" volume of overfill to the final volume on the label.
3. Pump bags to exact base fluid volume stated on the label.
4. Do not account for overfill in the final volume stated on the label.

For those impacted, how are you navigating the NS 10ml vial saline shortage? What alternatives are you offering to your nurses for med dilution on the floors while limiting safety risks? potential risks with the us of flushes(https://www.ismp.org/resources/it-really-saline. Interested in learning from others

Thanks!

Is topical tranexamic acid for oral/dental bleed, hemoptysis, or epistaxis used at your institution? If so, how is the medication supplied? Do you take any measures to prevent misadministration via intravenous route?

Good afternoon,
for those that may be impacted, how are you navigating the NS vial shortage? What alternatives are you offering to your nursing staff for med dilution on the floor while minimizing safety risks? Hoping to learn from others

Thanks

Tranexamic acid for topical use - oral/dental bleed, hemoptysis, epistaxis
Do you allow the use of topical tranexamic acid for these uses at your institution?
If so, how is the medication supplied? Where there measures taken to prevent erroneous intravenous administration?

Good afternoon,
for those that may be impacted, how are you navigating this NS vial shortage? What alternatives are you offering to your nursing staff for med dilution on the floor? Hoping to learn from others

Thank you!

Good afternoon everyone -
We are seeing shortage of NS vials for dilution of medications for IV push. Appreciate insight from any facilities that may be encountering the same on how you plan to approach.

Thanks

For patients that have a change in route of administration during hospital stay, how do your facilities approach modification of the routes and formulation for medications?

For example, for a patient that is intubated during inpatient stay and now requires med administration via NG, does the provider modify all orders or does pharmacy/nursing play a role in the process?

Does your EHR have any clinical decision support to assist in proper route of administration when the patient diet status is NPO, NG, etc.