Hello, does your institution restrict 20gm magnesium sulfate orders to certain units? Or are there any alerts in place for doses greater than a particular threshold?

We recently had a near miss with 20 grams magnesium sulfate and I am trying to identify system based strategies to safeguard the orders.

Appreciate your input!

Have any organizations implemented automatically discontinuing held orders after a certain timeframe in the EMR

Recently we have been getting push back from laboratory in regard to holding heparin drip for 15 minutes to obtain an Anti-Xa/aPTT lab due to preventing a "contaminated" specimen. I wanted to see if anyone else:

- holds heparin infusions for lab draw
- If there are any concrete studies that support not having to hold the heparin drip/flushing the line and only holding for 1-2 minutes.

I am concerned that we have been getting inaccurate results if lab has been pausing for 15 minutes. Thank you!

Greetings,

Has anyone used unit dose packaging with Honeywell Aclar film for drugs dispensed in the original container? Specifically, my site is wondering if the film could help extend the lead time by which we package these medications. Typically we prepare them the night before they're due.

Is anyone doing medication bedside barcoding without requiring pharmacist order verification first? Which EMR are you using? What issues have you run into? Any lessons learned? Thank you

Hello, I am curious to see how DNV facilities have approached time-critical medications and system reliability with Cerner. We are in the process to harmonize a system-wide list of medications, but I am curious how your facility operationalized and audit compliance utilizing the Cerner platform. I have seen on prior MSOS posts a few years back some responses but given DNV has expanded their market share the last few years more people might have been exposed to this similar challenge. What were your wins? Any recommendations?

Make it a great day,

Do any sites use tenecteplase for stroke and PE and have both agents on override? If so what safety strategies have you found useful to prevent dose error mix ups?

Hoping to learn what other institutions are doing to mitigate insulin adsorption concerns, specifically as it applies to dispensing and administration. I.e. specific priming volume, flushing, dwell time, etc. Do you have the same process for all patients or do you have unit/population specific practices (adult vs peds vs NICU)? Thanks!

We have been having increased reports from our cardiothoracic team with concerns about the potency of heparin we are using. I know this has come up before, but I am wondering if anyone else has been experiencing this or have done any potency testing? The manufacturers we have been getting concerns about are Hospira and Fresenius Kabi, 10,000 units/10L vials. Thanks

Hi All,

Our organization recently transitioned from Alaris to using CADD pumps for our PCA and PCEA infusions. The downside that we have been trying to work through is the lack of wireless connectivity in order to utilized pump interoperability. I was wondering if any of your organizations use CADD and are willing to provide insight on the wireless capabilities. We have not had the best of luck with the device company to troubleshoot this gap in safety.

Thank you,
Erica