Hello!
I was hoping some of you would be willing to share what your policy/practice is relative to crushing medications by nursing prior to administration. I am specifically looking for whether meds are being crushed in a medication room/other designated area or the bedside AND if medications are crushed all together or individually.
Would also appreciate any resources you may have to support the practice.
Thank you so much!
Stacy

Hello!
I was hoping some of you would be willing to share what your policy/practice is relative to crushing medications by nursing prior to administration. I am specifically looking for whether meds are being crushed in a medication room/other designated area or the bedside AND if medications are crushed all together or individually.
Would also appreciate any resources you may have to support the practice.
Thank you so much!
Stacy

Does anyone have a reference benchmark for IV contrast infiltrations? Incidental finding that I'd like to review for my site, but what is an "acceptable" or common number for this type of event?

Also, do your sites have special/specific procedures for IV lines that will be used for contrast media? Does anyone require verification of line placement by Doppler before use?

Even if your institution does not have a specific policy/protocol, do you have any thoughts that could be explored further?

Best,
Renu

The BUD date on short stability medications is hand written on the med label at the time of preparation. We often get reports that administration was started after the BUD time, so I'm wondering if anyone has incorporated the BUD on the MAR that alerts the nurse that the medication is expired?

Does anyone have a protocol/policy for patients who have high blood glucose level on morning labs or at POC, sometimes for several consecutive days? This would be for patients who have no insulin orders.

Is your policy lab, nursing, pharmacy, or physician driven?

Would appreciate any copies you are able to share.
TIA

We recently had a request to compound an epinephrine drip for anaphylaxis and came across a potential safety issue with ordering. The recommended concentration for anaphylaxis is 1 mcg/ml. We have the standard concentrations of 20 mcg/ml and 40 mcg/ml built into Epic. This resulted in considerable manipulation and work-around by the pharmacist in order to correctly enter an order for the 1 mcg/ml drip.

Has anyone come across this issue, and how did you improve safety for future orders?

Thanks!
Rachel

For self-reported errors, we most certainly do not benchmark error rates for all of the reasons we are familiar with. But, for those things where we can pull 100% data from the EHR like late doses and early doses, is there a source for benchmarking this data? Thanks in advance.

Holly Trotter, PharmD
Siskin Hospital for Physical Rehabilitation
Chattanooga, TN

Good morning dear friends and Colleagues,

I’m assisting with creating a Pharmacy Dashboard and I hope you can help. Can you please share with me what are the metrics (clinical, operations and medication safety) do you have on your dashboard and monitor routinely?

Thank you so much in advance.

Sincerely,
Mohamed Sarg

Good morning my dear friends and colleagues,

I’m helping creating a pharmacy dashboard and I was wondering what are the Clinical, operations and medication safety metrics you have on your dashboard?

Thank you so much I’m advance.

Sincerely,
Mohamed Sarg

I am wondering if others have a process or protocol for allowing nursing to pull out carrier fluids for administering small volume IV antibiotics?

I was made aware today that our nurses tend to pull out fluids from our ADCs on override to administer IV antibiotics that are of smaller volumes, such as 50ml or 100ml, but never have an order. This makes me concerned about errors, including possible incompatibilities and inaccurate documentation. I am wondering: