Hello everyone!

I'm reaching out to see if any facilities follow a regular auditing schedule for controlled substances. If so, would you be willing to share how frequent audits are performed and if you follow a set protocol?

I appreciate you all! Thank you!

Hello colleagues! For sites that are live on pump integration.... could you please share the following information

1) How are fluid boluses handled at your organization? are they always administered "off pump"? Do you have any special build or procedures related to fluid boluses?
2) Are sepsis boluses done in a special/different way from other fluid boluses?

Hi,

I recently discovered a workflow in one of our oncology areas in which a provider will verbally tell the pharmacist what treatment plan they want for a patient, the pharmacist enters the orders and "pends" them for the provider to sign, the provider signs the orders, and then the same pharmacist who pended the orders does the first verify.

Hello!

Wondering if anyone is currently administering / using Nitrous Oxide for analgesia / sedation in your Ambulatory Clinics...?

If yes, do you have a policy that you would be willing to share!

Thanks in advance!
Emily

How do you infuse Reclast, with HD considerations (NIOSH Table 2)?

With the bottles being low volume (100 mL or less, generally), what process do you use to ensure total volume is administered?

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

We are an EPIC hospital system. Currently, we (pharmacy) have been sending VIS with vaccine or, in certain case (eg, Flu vaccine) stocking them with drug on the unit. We are concerned that staff maybe storing the VIS in some other location or making their own copies. (Therefore, providing outdated material) We'd like to know how your pharmacy provides VIS sheets. If anyone has found a way to provide digital/electronic copy, any information would be greatly appreciated.

Hello, All.

Our organization currently uses Glucommander IV and SQ for glucose management for our in-patient units. I have seen advertisements for Endotool which reports a lower rate of hypoglycemia vs Glucommander. Wondering if anyone has used Endotool and what your experience is. If you have used Glucomander and Endotool what would be the major advantages/disadvantages that you have seen with each of these products?

Pharmacy is looking at what is defined at our Organzation for STAT and ROUTINE. The end time is not later than X minutes to administration to patient.
But pharmacy would like to define their end of the process.

So do you have a policy that defines:

STAT- what is expected time to medication to floor (pharmacy piece)
what is expected time to administration ?

ROUTINE what is expected time to medication to floor (pharmacy piece)
what is expected time to administration ?
OR fill out this survey

Hi!

I’m reaching out to gather insight into your practices regarding the handling of inpatient medications around the time of surgery/procedure. I'd appreciate your input on the following:

We recently had a medication incident due to a confusing regular insulin drip titration unit of measures in peds vs. adults patients with DKA - MD meant to order initial regular insulin drip (for ped patient) at 5.4 units/hr, however 5.4 units/kg/hr was entered.

Our peds initial insulin drip order has “units/kg/hr” as a default whereas our adults initial and maintenance insulin drip order has “units/hr” as a default. Note - We do not titrate insulin drip in peds but titrate IV fluid instead.