I would be interested in receiving some feedback from other facilities regarding epidural for labor, specifically the default settings for Fentanyl 2 mcg / Bupivacaine 0.125% epidural.
1.Basal rate range: _________
2.Bolus dose range: _________
3.Lock out range: ___________
Thank you.

Hi All
We have several mass vaccination sites up and running and we are starting to see quite a few PSI's related to the 1st dose of vaccine. There have been quite a few errors reported of immediate, non-anaphylactic reactions such as itchy throat, flushing, hives etc requiring 25-50 mg of diphenhydramine.

Hello all,

I hope you are well. I am writing to ask about insulin administration are your respective institutions. We have some rapid and short acting admin times in our EMR (EPIC) that default and they are consistent. What is not consistent is who administers - night shift nurse prior to leaving or day nurse immediately upon arrival.

Hello,
Can anyone point me towards a national benchmark data for medication infusions KPIs.

Thank you

Is anyone using the total volume or overfill volume function in Epic or any other systems. Wondering how do you inform nursing of overfill volume and total volume and also how this affects syringe pump standard concentration settings?

We are looking for some way to highlight the great safety work (medication as well as other HACs like CLABSI/CAUTI/VAP etc) with the entirety of the hospital staff, not just those team members serving on the committees. I would appreciate if anyone can share their ideas as to how you may structure a newsletter, what’s the format or content included, who are contributors, how do you distribute and at what frequency etc. Any inspiration is much appreciated.
Thanks
Jess

Hello everyone,

We are assessing our resource model for med safety, and I am looking to learn more or connect with hospitals that have utilized a model similar to the proposed future state described below. Please share your experience or let me know if you are willing to connect offline. Thank you in advance!

Current state: All med safety resources (3 FTE) in the patient safety department; partnerships with key departments informal or through committee structures (pharmacy, anesthesia, nursing, clinical units)

Are baseline ACTs checked before heparin administration in your cath lab?
If yes, which of the following apply for checking the baseline ACT?
1. Checked on all patients
2. Checked based on recent heparin administration/infusion
3. Checked based on recent PTT or Hep Quant Assay result (e.g. recent supra-therapeutic PTT)
4. Other?

Thank you for your response,
Stacie Ethington MSN, RN-BC
Medication Safety Nurse Specialist
Nebraska Medicine

Hello,
We're just getting to an official rollout/implementation of USP<800> and we're challenged by 2 things. The sheer number of different types of waste containers in our institution and creating a simple education plan around it and the decision on how involved to get with medical surveillance.

Would love it if someone has a policy you're willing to share on this topic.

Thanks!

Currently at UK HealthCare pharmacy utilizes an auxiliary label "1 mL Syringe Have 0.05 mL Overfill" - this could be confusing as it is not all 1 mL syringes but only those for intramuscular or subcutaneous routes.

Do other institutions allot overfill to account for residual medication in the needle?
If so, how does pharmacy denote this in the preparation/dispensing stage to communicate with nursing prior to administration this extra volume was not in error?