In Minnesota there is a BOP rule that certain drugs require stage checking (verify ingredient and amount before injecting) in the sterile product prep. This is a new rule to me coming from out of state. Does anyone have experience with this, and what do you use to determine what requires stage checking.
Thanks!
Merissa

I wanted to see what other sites have in place for pharmacy oversight of Epic's one step med builds. Is there a committee that reviews requests? Do you have a set list of rules of what can be built as a one step med?
Thanks-

Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Hi,
I would like to hear from sites that have restricted Fentanyl IV Push (IVP) to ER/ICUs/Surgery/Procedural areas. Basically do not allow the usage on MedSurg type of patient care units.

If you have limited Fentanyl IVP to certain units, would you mind sharing what criteria or literature was used to implement that process? We are looking to do the same but would appreciate any guidance or information to steer in the right direction.

Thank you in advance,
Pratixa Patel

Due to delays with IV preparation and delivery to Cardiac Surgery, we are looking at potentially stocking KCentra in Cardiac Surgery Pyxis maching. Is anyone else doing this or considering this possiblity. I am looking for feedback on success and barriers with this approach.

Thanks,
Victor
540-588-7986

Hi,

We are in the process of reviewing our downtime workflows for automated dispensing cabinets (ADCs) and are seeking input around how other organizations are managing medication dispensing and override access during periods when the ADCs are functional, but are not receiving updates from the EHR (e.g., interface down, EHR downtime, etc).

Hi, what kind of policies and procedures does your institution have for medication orders for patients who are still housed in the ED but awaiting transfer with the disposition orders already in? Who is responsible for assuming care of the patient for medication orders/labs, etc if there is a delay in transfer? This could be situations where there is a transport delay to an outpatient facility. Or the more pressing issue is if there is a freestanding ER and transfer is pending to the main ED but there is delay in the transport or bed availability but disposition orders are already in.

The Joint Commission and ISMP mention REMEDI as a resource for improving safety/quality with the use of smart pumps. I've tried to contact REMEDI through their contact link on the website several times in the last few months but have not received any responses (https://catalyzecare.org/remedi). If you use their infusion pump analytics or succeeded in obtaining information from them, could you please answer the questions below?

The Joint Commission and ISMP mention REMEDI as a resource for improving safety/quality with the use of smart pumps. I've tried to contact REMEDI through their contact link on the website several times in the last few months but have not received any responses (https://catalyzecare.org/remedi). If you use their infusion pump analytics or succeeded in obtaining information from them, could you please answer the questions below?

We are reviewing our Standard electrolyte replacement protocol for adults, pediatrics and neonates. Kindly share your protocol including maximum safe range. Also protocol for volume restricted patients.

Hello everyone,

Our system is re-evaluating our processes around alteplase administration for stroke, and we are curious how other sites are administering the infusion? By hanging the bottle itself or transferring it a viaflex/piggyback for administration?

I would appreciate knowing what your site does, and if you have any specific reasons behind either method.

Thank you!