We have been discussing about re-evaluating our current options for pump modules and the different routes of administration given the current recall of one system and recent technology update requirements.

We currently use BD Alaris for IV infusions, CADD for epidural route, CADD for PCAs, and Smith Medical for pediatric infusions.

I would be interested in hearing from other institutions what types of pump modules are being leveraged for different routes of administration.

Thank you kindly,
Natalie

Wondering if anyone has a standard process or template that you use for Just Culture coaching? How do you document that it occurred? How do you determine if coaching made a difference? Thanks!

Hello there ~

For those of you with oversight of or visibility to the medication management practices happening in your Ambulatory / Outpatient clinics & office spaces... I was wondering if you would be willing to provide some commentary on the 'in-office' management of hypertension or elevated blood pressure.

I am reaching out to find out how insulin is currently managed in the OR suite.

1. Who obtains the insulin for the anesthesiologist to administer to the patient?
2. What is the method of ordering?
3. How is the insulin dispensed? Omnicell or Prepared by the OR Pharmacist?

Thanks for sharing your insights.

Charlene

I am reaching out to find out how insulin is currently managed in the OR suite at your institution. Looking for responses to the following questions:

1. Who obtains the insulin for the anesthesiologist to administer to the patient?
2. What is the method of ordering?
3. How is the insulin dispensed? Omnicell or Prepared by the OR Pharmacist?

Since misoprostol is considered a hazardous drug we currently cut the 100 mcg tablet into ¼ a tab (25 mcg) for our L&D areas. Our pharmacy staff has expressed concerns and issues cutting these tablets since they tend to break and crumble, making it difficult to consistently get an accurate ¼ tablet. I am interested to hear what other organizations are doing.

Do you cut misoprostol in pharmacy or do nurses cut on the floor?

Hi!We are looking for a way to categorize risks in the off-label use of medications. Does your institution have this categorization? Are there available references regarding this?

Our L&D department is requesting Magnesium Sulfate 50% injection 5gm/10ml syringes available on override in Omnicell for emergent use in patients presenting with an eclamptic seizure without IV access. Historically, we only provide the IVPB since we avoid stocking concentrated electrolytes in patient care areas. Does anyone stock magnesium sulfate 5 gram syringes in the L&D department? What safety precautions do you have in place?

I'm working on implementing unit-based, pharmacist-led, medication safety walking rounds at my institution.

Does anyone have example documents of your own institutions's safety rounds?

Hello,
Does anyone verify medications when they are discontinued? Thanks.