MSOS Discussion Board

Crash cart tray labeling

Renu Bajwa's picture

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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.

Anesthesia ADMs Policies and Guidelines

Matthew T. Beaulac's picture

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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

Maximum Osmolarity For Peripheral Line in Peds Patinets

Natalie Kuchik's picture

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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

Patient and families engagement in Antibiotic stewardship program

Saharish Nazar's picture

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Hi all,
My Hospital is Joint Commission International accredited. There is a requirement to involve patients and families in antibiotic stewardship program (ASP). Currently we are involving them by giving Patient education material on ASP at the time of admission and doing some awareness drives for general public on antibiotic use. I am seeking for more options and ideas on this.How you are doing this in your organizations?

Regards,
Saharish

Patients' Schedule 1 items

Renu Bajwa's picture

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Hello,

We are reviewing our processes for patients’ Schedule 1 items, oftentimes found in a patient’s belongings when they are admitted through the ED. Would be interested to hear how your institution stores or disposes of these items.
1. Are they bagged as patient’s valuables?
2. Stored with the House Supervisor, Security, Pharmacy, elsewhere?
3. Are they somehow discarded?
4. Are they returned to the patient at discharge?
5. Are they given to local law enforcement? If so, how is this process organized?

Thank you,

Renu Bajwa, Pharm.D.

Restricted Medications

Kristen Post's picture

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I'm inquiring on how other institutions organize their restricted medications in their policies or guidelines. What methods are used to list restrictions (i.e. meds that can only be administered on specific units) as a standard resource for the front line staff? Also, if in a policy, how many pages is the policy and are you willing to share?

Dilution of IV phenytoin doses

Amaris Fuentes's picture

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Good morning - we are currently reviewing our practices with phenytoin IV administration. We offer opportunities to order both as IV push and IVPB and would like to move away from IV push. We, however, are finding information regarding final dilution of phenytoin to be no less than 5mg/mL, which would mean dilution of a typical 100mg in only 20cc. I am, however, not finding information on what the implications of further dilution in 50 or 100mL would be. Appreciate if others can share their phenytoin IV practices and dilutions.

ISMP ADC Gap Analysis and Security

Joel W Daniel's picture

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For 2020/2021, we have decided to do a quarterly ADC Gap analysis with specific goals/benchmarks against all sites in the system and alignment with the ISMP gap analysis.

What is your process for securely resetting a password? If by telephone, what identifiers do you require to ensure that this is actually the person?

What does your health-system or facility do to help identify usage if a unit/floor is closed?

Thank you in advance,

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