Hi all,

Our facility is having a lot of administration errors with heparin drips. We have done tons of education and reminders, but the same mistakes keep happening. We use Epic and it seems the entry is just not nursing friendly. I was wondering if any of you have had the same issues and/or what your heparin entries/builds look like. What mechanisms or procedures do you use to minimize these errors?

The errors include:

Hello! Has anyone else been getting reports from their Cardiac Echo/Ultrasound areas regarding an increase in allergic/anaphylactic reactions after Lumason injection? We have received increased reports across our system that do not seem to be lot related. One common thread appears to be that all of these patients have received either PfiZer or Moderna COVID vaccines.

Our anti-microbial stewardship team is working on a penicillin allergy de-labeling project. Their initial research revealed that ~25% of patient allergies do not have a reaction entered. We are considering a trial of making the reaction field a required field in Epic. Has anyone done this?

I would be interested in hearing any success stories related to medication safety and fall preventions. What have you done that has had an impact? I am looking for meaningful interventions that don't just result in flagging everyone as a fall risk.

Thank you in advance,
Holly Trotter, Pharm.D.
Siskin Hospital for Physical Rehabilitation

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Dear all,

Like to ask what is the lowest drug order set for quetiapine in your CPOE system- is it 6.25mg or 12.5mg ?

Official references are 12.5mg..but we do see orders for 6.25mg as starting dose. Though a bit hard to quarter the tablet..

We are discussing to set in system the lowest dose order set for drugs with risk of causing fall.

Thanks

Especially for those that have stand-alone EDs as part of the system - what are some failsafe methods that are used to prevent patients from receiving a paralytic without adequate sedation of RASS -5. We have an alert in our ADC as well as administration comments within the paralytic order but are there other strategies that have been used to help mitigate this risk?