if there is no information written by the manufacturer for product stability after dilution then what references are you using. Lexicomp provide information about stability of specific brands

HOW MANY DAYS EXPIRY DATE ARE YOU PUTTING AFTER OPENING THE CONTAINER OF EFFERVESCENT TABLET IN YOUR FACILITY

​It's been a while since this question was asked....How does your institution manage medications that cannot be taken by ADULT patients prior to or after sleep study?
Provider order? Which provider?
Assessment of Patient Competence, if self administered in setting of non-clinical staff conducting sleep study?
Patient own medication identification, if not supply by the hospital?

Medication Safety and Informatics Professionals:

Regarding Alert Fatigue, we are looking at modulating the severity to DDI alerts at verification. We have are undergoing an intensive and robust approval process (which can be seen in the attached flowchart). But have come to fears of litigation which really is what got us to this point in the first place (as HER vendors will have everything as a higher level to avoid litigation).

In lieu of impending shortages of PPE, our system has begun looking at ways to conserve PPE across each facility from students to changing patient parameters to warrant Isolation precautions.

What process changes have you done or thought about to conserve these limited resources?

Hello, we are getting ready for TJC and wanted to reach out to see if any hospitals have a good practice in place for nurses documenting titrations of medication orders that are started in the ER and then are re-entered on admission but the starting rate is not the same as what the patient has been titrated up to in the ER. For example Levophed started in ER 5mcg/min and titrated up to 30 mcg but when ordered on admission it defaults to the starting 5 mcg rate.

Good Morning,

Our health system is looking to develop a standard opioid stewardship program across multiple hospitals. For those of you with established programs and those in the midst of implementation, anything you can share, such as tools, policies, dashboards, etc. would be greatly appreciated.

Thank you.

Our hospital is making a diluted solution of soft soap for use in our OB patient for perineal prep with vaginal delivery.

I believe that this is a old practice. Is anyone still doing this? or have other places gone to more commercially available products?

WE ARE NOT DOING DILUTIONS OF ALL IV INJECTABLE IN PHARMACY I WILL THANKFUL IF YOU SHARE SOPS WHICH IV INJECTABLE CAN BE PREPARE OUTSIDE THE PHARMACY AT BEDSIDE BY NURSES. OR IT IS NECESSARY TO DO DILUTION OF ALL IV INJECTABLE IN PHARMACY EXCEPT EMERGENCY CASES

I'm interested to know if others have organizational policies for allowing or prohibiting "texting" of orders including but not limited to medication orders. What do you allow, how is an order defined when considering the act of "texting"/paging/ etc.

Thanks.
DiAnthia