MSOS Discussion Board

Dantrolene and Succinylcholine

Sarah Durham's picture

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Hi,

DNV requires dantrolene to be immediately available in areas where MH trigger agents are used. One identified MH trigger agent is succinylcholine, which we keep in intubation kits in ICUs and procedural areas. It would not be feasible for us to store dantrolene in all locations that may use succinycholine.

How does your hospital ensure compliance with this regulation? In which areas do you store dantrolene?

Thank you in advanced.

Sarah

Question about neonatal and pediatric vasopressin

Joel W Daniel's picture

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We have been running into an potential problem when it comes to units of measure, and wanted to see what others are doing in children’s hospitals and especially children’s hospitals within adult hospitals. Especially interested if you use Cerner and/or DoseEdge.

COVID Vaccine for Community - In-house first dose

Marina Rabin's picture

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Trying to figure out a plan how to roll out vaccination for "healthy" inpatients upon discharge. Whereas fist dose administration might not present a huge challenge (can follow workflow for Influenza vaccine) how is your institution planning to assure second vaccine dose to an already released person? Does any organization have a plan yet?

COVID Vaccine for Community - In-house first dose

Marina Rabin's picture

Forums: 

Trying to figure out a plan how to roll out vaccination for "healthy" inpatients upon discharge. Whereas fist dose administration might not present a huge challenge (can follow workflow for Influenza vaccine) how is your institution planning to assure second vaccine dose to an already released person? Does any organization have a plan yet?

Covid Vaccine Documentation

Kristen F. Wright's picture

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I am located in NC and am curious how other health systems across the country are currently documenting administration of Covid vaccine. Our vaccines are currently being offered to team members and established patients in our health system with plans to open it up to the general public regardless of where their PCP is located. For team members and established patients we are double documenting--once on the state required registry and then in the patient's EMR record. How are others documenting? Are you documenting in multiple locations as well?

CSTD for non-IV routes

Jeff Hurren's picture

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We are re-evaluating our processes around Closed System Drug-Transfer Devices (CSTD). I am curious to hear of other institutional approaches to non-IV routes:

Do you use the same CSTD system across your enterprise for consistency, or a different one to distinguish?

In particular I am thinking of intravesicular, intramuscular, and/or Subcutaneous routes.

Pediatric Medication Formulary - EPIC users

Christy Wynn Turner's picture

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For those children's hospitals that are a hospital within an adult hospital and users of EPIC:

We have had multiple medication events due to sharing a medication formulary with the adult hospital. Please let me know if anyone using EPIC has been able to create and maintain a separate pediatric medication formulary within your organization. Has any other institution experienced errors relating back to a shared formulary?

Nicardipine infusions on acute care floors

John Dempsey's picture

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Hi all,

Quick query-

Any institutions out there that allow nicardipine infusions on acute care floors?

I am thinking something like: tele monitored, provider to titrate on acute care floors.

Thank you,

John Dempsey, PharmD, MHA
Medication Safety Pharmacist
Harborview Medical Center
Seattle, WA
Box 359885
Phone 206-744-6043

Moderna COVID-19 Vaccine

Mohamed Sarg's picture

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Happy New year! I have a quick question regarding Moderna COVID Vaccine.

ASHP just shared that "FDA Approved the Use of Every Obtainable Dose from Moderna’s COVID-19 Vaccine Vials. In some cases, providers may be able to obtain an 11th dose from a Moderna vaccine vial, and this may be used if it is truly a full dose. Whether an 11th dose is obtainable depends, in part, on the type of syringes and needles used to withdraw doses from the vials."

Can anyone please share with me if they have success obtaining 11 doses from Moderna vaccine?

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