We are working to update orderables for drips to include all TJC-required order elements within the order itself (initial dose, titration parameters, max dose), and ran into this issue - the approved titration guidelines differ across the three hospitals in our system. Our IT team is hesitant on creating two (or more) versions of the same order customized per facility due to difficulties with maintenance.

Hi
Seeking guidance from any other users of the Silent Knight tablet crushers from Links Medical. we have over a hundred of these in use across our organisation and after about 18 months of use we are seeing that the rubber stopper under the handle is falling to pieces. I have tried contact Links Med via email (I'm in New Zealand) but no response. They supposedly have a life time warranty but that's no good if no-one responds!!!
Has anyone else had this issue? Has the company supplied replacement stoppers (they just pull out)?
Any advice appreciated.
Thanks

I'm looking for any existing resources, tools, or tips for implementing the ISMP tallman lettering format for drug names in MS Office files. I teach pharmacy courses and want to use this convention across my PowerPoint, Word, and Excel files. It would also be helpful for my students to have this type of resource, as well. If anyone has any existing resources (e.g. custom Office dictionary files), suggestions, or pointers to resources, please let me know.

Thanks!

sweston@harding.edu

Looking to determine what other organizations are doing for Anesthesia providers returning non-controlled medications. Do you have them:
1. Returning into the medication pocket in medication cabinet (either locking lid or with barcode scanning of pocket) or
2. Returning all meds into a common return bin that is managed by the pharmacy?

Pros and cons of each approach?

We are currently expecting scenario #1 to happen but finding challenges with medications not returned, left in the storage drawers of our Omnicell cabinets.

Hello,

Would anybody be interested in sharing policies or procedures around their ED pharmacists' roles and responsibilities as it relates to the medication use process in the Emergency Department?

Interested in information about their roles as it pertains to both trauma and non-trauma situations; preparation of medications with orders and medications removed from ADC on override, as well as the hand-off process when pharmacy obtains med from ADC and/or draws up for administering end user.

Thank you,

Matt

Matthew T Beaulac, PharmD, MS

Dear Medication Safety Colleagues,

I'd like to share an opportunity to submit a topic for the Safety and Quality Pearls session for the ASHP Midyear Clinical Meeting 2020. This is a well-attended session with outstanding tips for attendees and a rewarding opportunity to present at the Midyear. Please see more information below on how to submit your idea.
Hope to see you in New Orleans!
Kathy

Hi all -
I wanted to see what others are doing in light of the CME Bodyguard Pump Recall. We are working as fast as possible to get replacement pumps in but wasn't sure if others had completely quit using the recalled products.
Thanks-
Maria Cumpston, PharmD, CPPS
West Virginia University Hospital
Morgantown, WV

All of these assume an organization has defined a list of standardized gtt concentrations and limit to one concentrations unless there is a clinically essential need to have 2 standardized concentration of a drug -

1. For drugs in which you have more than one gtt concentration, does your organization use any associated nomenclature (e.g. standard vs. concentrated concentration)? Hesitant asking that since the terms are arbitrary vs. actual concentration values are objective - but still interested in what your practice is.

For medications that are administered at varying rates, such as IVIG or rituximab, do you put the infusions instructions in the EHR? If so, where in the order is it located? Or do you provide paper rate sheets to nursing staff to assist them with pump programming?

We are moving to EPIC and building out Willow Ambulatory. We were presented two options for how Medication Warnings can display (setting LPR 48600). The two options for are:

1) after each drug is verified before going to the next (only shows warnings relevant to that one drug)

2) after an entire work basket is verified (shows warnings relevant to every drug in the basket all at once)