Does anyone have any experience using B.Braun addEASE connectors for a Remdesivir 100mg dose point-of-care activation?

Hello!

Couple questions regarding topical thrombin and your organization's practice:

1) Which topical thrombin product do you use?

2) Is this prepared by / come from Pharmacy?
OR does it come from Pyxis and prepared by bedside clinical staff?

3) Any additional "safety precautions / measures" in place based on your current process?

thanks so much in advance,
Emily

Hello everyone,

Does anyone have a mechanism in place to prevent the accidental distribution/circulation of Epinephrine autoinjector trainer pens?

We use EPipens for a limited patient population.

We have a process/education in place, scanning out of robot/scanning in Omnicell in place, but I still find occasional trainers in our stock

Thank you.

Hello!

1. If you have a subcutaneous hydration policy can you share it
2. For those institutions that perform subcutaneous hydration what brand of hyaluronidase do you use and do you use it in peds as well?

Hello!

We had an event recently where nursing forgot to restart a heparin infusion after stopping for 1 hour per protocol in response to an elevated Anti-factor Xa level. Our workflow relies on nurses having to remember to restart the infusion in these situations. We use Epic, so there are reminders they can set, but apparently this tool is rarely used. Wondering if anyone has a more resilient workflow for this that they would like to share.

Thank you!

For sites that have gone live with IV pump/EHR interoperability:

Can you share how the Sepsis fluid bolus is entered in your EHR system?
Currently our rate exceeds 999 mL/hr which would exclude this entry from integration. We want to use integration so that the fluid documentation goes to the flow sheets. If this is an outlier to integration, nursing may forget to document the I&O volume.

How is everyone managing the D-50 shortage? We are critical low and considering offering alternatives or compounding syringes utilizing D70 since that is all that is available. Have any of you compounded using D70? Would you be willing to share your procedure and dating? Thanks!

Hello everyone,

I am curious to learn more about policies/processes involved with Medication History/Inventory in systems with both ambulatory medical offices and inpatient facilities using the same EHR.

What we are currently challenged with is the very different approach these two care areas tend to require (see example below).

This really complicates maintaining a clean medication list as orders must be continually reconciled from split line items to singular orders and vice versa.

Hi All,

When sending outpatient chemotherapy prescriptions, do any of your institutions require an attending and/or chemotherapy authorized prescriber signature (i.e. a second signature if prescription was originally written by a resident)?

Thanks,
Courtney

Courtney Doellner (Carroll), PharmD, BCPPS
Clinical Pharmacy Specialist – Pediatric Medication Safety Officer
cacourtn@med.umich.edu