What BUD does your facility follow for procedural areas when propofol is drawn into a syringe from a vial?
1. Immediate use rules: spike and use within 1 hour, complete within 6 hours?
2. Package insert (syringe administration should commence promptly and be completed within 12 hours after the vial has been opened).

Thank you,

Kelly

We have ongoing issues with hypoglycemia that arises after a patient receives regular/basal insulin to cover tube feeds and then the tube feed regimen is discontinued or NG tube is clogged/pulled. Nursing staff is finding it hard to remember to monitor POC glucose more closely when dextrose source is removed.

We have tried to address through RN staff education and have defaulted guidance into the insulin orders, but the issue persists.

Hi All
We have found that we are not meeting the CMS guidelines on getting antibiotics into our pediatric trauma patients within 1 hour for open fractures. Our pediatric antibiotics come from our central pharmacy as patient specific doses in pediatric dilutions unless the peds patient is large enough to get a standard adult dose.

Hi-
Does anyone have any standard, pharmacy supplied OR labels that are available for the OR staff to have on hand when a medication is made in hung in the OR? Ideally we'd be able to purchase them vs having to make ourselves. We have had 2 recent wrong route medication errors and the standard has been to write the drug name on a piece of surgical tape

MSOS Members:

As we prepare for the ISMP Targeted Medication Safety Best Practices for 2022-23, please be sure to complete the current ISMP Targeted Medication Safety Best Practices Survey so we can get a sense of the current level of implementation of the 2020-2021 practices for hospitals.

We would very much appreciate your participation in this survey by July 30, 2021.

As most MSOS members are aware, we recently launched the ISMP Medication Safety Self Assessment® for Perioperative Settings. The FDA-funded project can help hospitals, ambulatory surgery centers, and other surgery settings evaluate their current medication safety systems and practices, document regulatory compliance, and compare their results to those of demographically similar organizations.

We recently had an event at one of our physician offices in which they wanted a patient to receive IV dexamethasone orally. The staff member inadvertently administered it IM. I know EDs and Urgent Cares routinely use the IV product orally due to volume concerns. Does anyone use the IV formulation orally in the office setting and if yes, what safety steps do you have in place to avoid wrong route administration errors?

We are seeing more providers wanting to titrate paralytic agents to "ventilator synchrony", although our current titration goal parameter is TOF.

If your policy/practice allows it, could you share how you objectively define ventilator synchrony at your institution?

Where does that definition live, in policy, or is part of every medication order (e.g. default order comments)? If you are willing to share your policy or screen shots, that would be very helpful!

Thank you.
Daniel

Hello,

I was wondering if someone had a presentation or even tips on presenting the topic of adverse drug events, adverse drug reactions to general practice residents? This Monday I will be teaching and training our general practice resident to the subject of Adverse Drug Reactions. I will show them the process of capturing, reocording, and reporting this in our institution but would love any additional information on this. Any shares would be greatly appreciated.

Good morning,
Does anyone have policies or procedures guiding decisions for meds allowed to be autoverified? Appreciate any information you may have

- Which areas do you allow autoverification?
- Do you have a restricted med list and what criteria do you use?

Thank you!