Is there a best practice recommendation for scanning individual ingredients vs. the final product when there is nurse admixture at the bedside?

An example: nurse has to mix an IV antibiotic prior to administration. When performing the scan, is your system process to have each ingredient scanned, or is a final product label/barcode provided to scan?

My gut feeling is that best practice would be to scan individual ingredients. There is always the possibility of a wrong product selection prior to the final admixture.

I know this has been discussed but i can't find the thread. Currently we do our DC for correction scale insulin at the pyxis machine. One of our COVID units is utilizing a clean nurse to hand the medications across the barrier to a COVID nurse. This process seems to be working but we are unable to accomplish the double check at the Pyxis machine. Has anyone tackled this problem already?
Appreciate any help you can officer.
Kim Gaillard

Greetings:

Due to COVID19 nephrology has requested using 5000units/ml heparin for a heploack flush. Because at the time the catheters varied and thus the amount of volume to be used to flush the catheter varies - we have been asked by providers to allow them to order by ml - does anyone have a guidance on the best practice for ordering a heplock flush

Does anyone have a policy on the newer concentrated insulins available (U-200, U-300)? When these are meant as basals, do you:
1. Convert to formulary basal?
2. Use patient's own pen? Where is the pen stored?
3. Bring pen to pharmacy and draw out individual doses? I know you're not supposed to draw out of a pen device, but would also prefer not to have this pen on the floor.

Good morning !
We have had a few medication errors around Heparin that involve changing weights of patients.
Do you allow the patient weight changes to automatically change a dose ? Or is there a % change cut off that you use ?

Just looking to make this action plan is around any high alert weight based medication- and not just heparin.
Thoughts ? Experiences?

Any information much appreciated
Laura

We are wondering what other facilities are doing for patients on BiPAP or CPAP regarding medication and nutrition support.

There are concerns that even with the gut working, removing the respiratory support for even a few minutes has significant impact on some COVID-19 patients. The results seen include significant tachypnea and decreased oxygen saturation levels even for short periods of time.

For those of you who use Pyxis or Omnicell in the OR for your anesthesia workflow, what is your time to automated sign off of the machine? There is a concern that needing to sign back in frequently during a case will create delays that could cause harm. The time out for the BioID to remove a controlled substance is usually set much shorter (15 - 45 seconds), where the time to complete sign off has ranged from 15 min - > 4 hours in our area hospitals. We are looking to see what other institutions do.

Thank you!

Hello everyone, wanted to see if there were any individuals with multi-site responsibilities without any direct reports at the local campus level. If you'd be willing to informally discuss with me by reaching out to my email, I would appreciate it.

Thanks in advance for your consideration!

Ellen Germain
New-York Presbyterian
etg9004@nyp.org

Hi all,

Is anyone using in-house compounded nimodipine solution?

We recently changed over from extracting solution from capsules to a compound product, and have had some events associated with the use of this compound via feeding tubes.

Hello everyone

I would like to know how do you define potentially significant medication errors in your hospital setting?

Thank you.