I am working with an academic based research group that is looking at both alerts and alarms on IV Smart Pumps. We have reviewed data from a large number of pumps to try and quantify both alarms and alerts. Our group, which consists of pharmacists and nurses is now identifying pharmacists that manage smart pump library settings within their institutions to conduct 50 minute interviews. We are looking for a variety of sites and pump types to learn about.

Good morning,

Hello,

I am curious how you handle rectal administration using ENFit syringes.

We are struggling with our diazepam for rectal administration.

Do you use Diastat?

If you don't mind please share your process for safe use.

Thank you!

Protamine administration is recommended in undiluted form, not to exceed 50mg dose over 10 minutes of slow IV push injection.

How does your institution administer protamine doses over 25mg that would need to be given over > 5minutes? Do you utilize a syringe pump or administer it by hand?

We do not stock syringe pumps on units, and they are supplied by materials management when requested. This poses an issue since protamine would be needed urgently and there may not be time to get a syringe pump.

We have had a few significant errors with dispensing patient-specific medications from Omnicell CSM (Controlled Substance Manager), where the incorrect LASA drug was selected.

Dear All,

At our Hospital, we are in the process of developing a policy for Continuous peripheral nerve Block Catheter (CPNBC) administration and would greatly value your input on the following:

-Does your institution have a policy or guideline for Continuous Peripheral Nerve Block (CPNB)? If so, would you be able to share it?

We often get patients from other hospitals on IV drips like heparin, nitroglycerin, dopamine, etc. and I'm curious what your procedure and timeline is to confirm rates, concentrations and whether you switch out the bags immediately to your hospital's product when they arrive.

What process do you follow at your organization to facilitate medication administration by a student nurse?
Are instructors granted access to the ADC?
If you have bedside storage, can they access the medication drawers?
If no to the above, do you allow the primary RN to remove from ADC or drawer and hand off to the instructor for administration, or is administration driven solely by the primary RN?

Thank you!
Stacie Ethington MSN, RN
Nebraska Medicine

I have used www.mipedscompounds.org for many of our oral solution and suspension recipes. I am no longer able to access this site. Does anyone know why this may be? Thank you!

Hi all,

Our organization has seen a pattern of paclitaxel precipitation specifically in the infusion set. This is despite using non-PVC bags, low sorb tubing, compatible CSTD (ChemoClave), and appropriate final concentrations within the PI recommended of 0.3 to 1.2 mg/mL.

Have other institutions been experiencing this and do you have any strategies to prevent precipitation during either the preparation or administration phase?

Thank you!