Have you done/considered turning off the penicillin allergy cross reactivity warning for cefazolin specifically? Have you used any mitigating actions to keep the alert "on" for SJS, TEN and DRESS?

Colleagues,

Do you allow for same day inpatient chemotherapy ordering (or order releasing from treatment plans) and administration -OR- do you endorse a time-based cut off model for oncology therapies?

Thank you,

Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health

For EPIC hospitals, have you configured/disabled system settings around which units can be used for patient-reported medication in medication reconciliation? Our system currently allows dispensing units to be used during med reconciliation which contributed to recent medication error in which a patient was inadvertently ordered for 7.5 tablets instead of 7.5 mg - beginning with the admission medication reconciliation.

Do you allow docusate to be used for ear wax removal in clinics/hospital settings? If so, do you extract the contents of a capsule or use the commercially available oral liquid? For those who are using the contents of a capsule, what precautions are used to limit the risk of sharps injuries during this process?

Thanks!

What are your institutions policies on pulse ox for PCAs? Do you require it for the entire time or just the first 24 hours?

Thanks!
Jennifer

Hi all - looking for input about samples in outpatient clinics. These clinics are newly a department of our hospital and are now surveyable by DNV. We have been conducting mock surveys to prepare. For the past 10 years, we have not allowed samples in any of our clinics due to the extensive documentation, labeling, etc. that goes along with it. However, a number of these clinics have and dispense samples. Our stance right now is to rid of all the samples in alignment with what we have done in the past, but posting here to see if this is behind the times? Do you all allow samples in clinics?

Is Nitroglycerin SL on your High risk list?

How other Epic hospitals are handling orders for oral and rectal contrast? Is it treated like a med and ordered, verified by Pharmacy, administered on MAR? Our current practice is that the order is generated by protocol (med not documented in Epic), DI tech mixes the contrast, labels it, and sends to the unit.

Good morning-
Do any facilities serving both adult and pediatric facilities have a system for distinguishing pediatric labels or emphasizing very small volumes (i.e. < 0.1) mL? We have had several near miss events with doses being pulled up as 10 fold greater than indicated and want to optimize labels to prevent this.

Sara

Has anyone had any reported issues of the blue exit port on FK bags falling off when the nurse spikes the bag causing the fluid to fall out?

We have had 3 reports in the last week on both the NS 100 and the NS 250.

**NS 250 lot is 6402421**