Is anyone using a standardized layout, set-up, mat, or similar in surgical areas for preparation/staging medication/vials/syringes for procedures? Are you using other strategies to make sure medications are correctly drawn up and labeled for procedural use? If you have pics or policies you would be willing to share, that would be great.

Can you describe the process in your hospital when pharmacy does not verify a medication (order is wrong, there is a question, etc.)---who gets contacted and how? Is there a process if that person does not call back or can't be reached?

We are trying to figure out how to close the loop on ensuring follow up is always done on all medications that are not verified.

Is there anyone who has implemented quiet zones or quiet medication rooms?
We are looking to push this practice house wide and we would like to determine some smart goals to determine if ultimately we see less errors linked specifically to these distractions. Does anyone have tips they can share or goals/metrics that worked at your organization?

Thanks
Kelly Salzar

Hello,

Does anyone pre-spike all HDs in BSC/CACI prior to dispensing? We currently prime and spike all chemotherapy in the BSC/CACI.

Does anyone use a "dry spike"? Does your process change for premixed bags of HD (e.g., fluconazole?)

We are starting the discussion if we should expand the HD medications that we spike for nursing prior to dispensing and I am wondering if anyone has had any success/tips with implementing this practice.

Thank you!

Good afternoon,
In your organization, do you use a single syringe pump device in all care area settings or does anesthesia or transport use a different syringe pump device? And what syringe pumps do you have?
Thanks,
Casey Moore

There is a formulary request to carry two amoxicillin and clavulanate IV formulations and we want to look at what we can do to mitigate errors. There are a 10:1 (2000mg/200mg) and 5:1 (500mg/100mg and 1000mg/200mg) formulations available. Wondering if this is done anywhere else or if anyone has dealt with this? If so, what steps are taken to reduce errors/mix-ups between products.

Is anyone putting a BUD on inhalers? If so, how do you operationalize this process? Practically speaking, an inhaler used in a hospital setting is going to be finished long before the BUD, however, a recent JC consultant asked a nurse at our facility what the BUD was on the inhaler. The consultant said when inhalers are removed from the packaging and foil wrap, they need to have BUD expiration sticker. The inhalers have different BUD, for example albuterol is 12 months and Symbicort is 3 months. Any help is appreciated.

We are considering restricting clonidine patches to reduce usage due to several errors at our pediatric institution (not removing old patches, cutting instead of occluding, etc). Do any of your institutions have any restrictions on clonidine patch usage?

Thank you! Stephanie

We are venturing to define system standards of practice for which medication IV infusions are administered as primary versus secondary (small volume intermittent) setups.

Additionally, we are pursuing ISMP recommendations to reduce medication loss per 12/3/20 and 4/8/21 Acute Care newsletters.

Has any system navigated a SOP with this infusion setup content that they would be willing to share?

Also wondering if anyone has ventured to place primary or secondary setup in the EHR order or on the pharmacy label.

Do any of your institutions administer medication via gravity? If so, are there specific medications or specific care areas these administrations occur?