Hello all,

My institution is working to change our latex precaution policy with regard to medication preparation. Currently, for patients with Type 1 allergies to latex, we remove any latex containing caps from medication vials before drawing up the parenteral medication. We plan to move to a single-stick/single-entry policy that would allow nursing and pharmacy staff to enter a vial once, regardless of latex content.

For those institutions that follow a single-stick policy:

Hi all,

We are looking to get benchmarking data on the topic of FLAT-RATE (mg/hr) versus WEIGHT-BASED RATES (mg/kg/hr) in adult-sized pediatric patients.

- Do you have a process in place for adult-sized pediatric patients to administer drips in a flat-rate unit (mg/hr; mg/min; etc…) instead of using weight-based units (mg/kg/hr; mcg/kg/min; etc…)?

- If so, what is the weight cut-off? Is it drug-dependent or a standard across the board?

- How are your Smart Pumps built in order to ensure this process is followed?

Hello,

We are collecting information regarding the ability to re-time medications in EMRs.

I saw there was a nice thread about this topic a few years ago, I would like to collect updated/additional responses.

What disciplines in your organization are granted the ability to re-time medication administration times, and how often are they able to re-time an individual dose?

Thank you in advance for any responses received!

Every time an ISMP new guideline paper, self assessment, or Quarterly Action Agenda is published, my org does an internal gap analysis. To facilitate this, we transcribe the recs to an Excel spreadsheet with columns where we document objective evidence of our organization's compliance (e.g.

hi all, do hospitals buy naloxone nasal spray for ER/outpatient setting dispensation? or provide prescription once patient is stabilized. nasal spray is costly, as far as state mandate to supply, which formulation do you offer? if you have a policy /procedure to share? thank you in advance
Jeanne
jbrady@svmh.com

Hi, there is a shortage of Golytely as you may know already and I am curious what others are doing at the hospital. Thank you.

Our Pharmacy uses KitCheck to make our crash cart trays. There is a standardized layout for the meds within the trays. A med list and map of the meds within the tray are included with each tray.

The nurses are asking that each section of the tray be labeled with the meds it contains. Once the trays are filled, most of these labels would be blocked. Also, some sections have multiple meds in them, e.g., section for Abbojects. I also want the staff to actually look at the meds they are grabbing, versus focusing on a tray label.

Hello there!

Wondering if anyone would be able to provide details/insight into your Event Reporting system "organization" (i.e. specific data fields collected/categorized) when it comes to Medication/Fluid events...?

Good morning

Our organization is in the process of building a taskforce with our anesthesia colleagues to review and revise current polices and practices around our anesthesia med machines.

I'm interested in seeing if other facilities would be willing to share policies/guidelines for how they are handling their anesthesia machines.

Thank you,

Matt

Matthew T. Beaulac, PharmD, MS
Manager for Safe Medication Practices

matthew.t.beaulac@lahey.org

We are thinking about increasing the upper limit for osmolarity for peripheral line and standardizing in neonatal and older children population. As of right now our neonates (1200) and older kids (1000). We are trying to figure out if we can standardize all ages to 1200 upper limit.

Thank you