Our facility has decided that Pharmacy will be responsible for crushing hazardous oral meds, when crushing is required (to avoid having to have all RNs fit tested for N-95 masks annually). It would be a terrible idea for Pharmacy to simply dispense a baggie full of HD powder for the RN. However, if there is no reference for compounding a liquid, I am not sure what we are supposed to do. I have heard of a facility mixing the crushed tablet with water, and telling the RN to administer ASAP.

Hello,
We are in the Epic design build and looking for ideas around how to document a medication given in error in the EHR. Currently our process involves several steps: entering a one-time order for the wrong medication using "Medication error" in the provider field, which allows for MAR documentation, and then the order is immediately disconsintued. The provider also documents that the error was made in his notes, as well as an incident report is completed.
There are risks involved in this (forgetting to d/c, several "human" steps etc) but the documentation is complete.

Hello,
How do you store your fluids (especially NaCl) to ensure the availability to the nursing units, balanced with the fact that these are prescription items and have regulations to ensure safe storage? Currently these are in our ADC's in most areas, but this accounts for the majority of our overrides so looking for ideas.
Appreciate any advice on this, Diane

Scenario: I have 1 vial of paclitaxel MYLAN brand (30 mg), and 1 vial of HOSPIRA brand (30 mg). Dose for my patient is 60 mg.

Does your institution allow combining product from different manufacturers for a patient specific dose?

Is there national regulation or standards on this?

Thank you very much!

Fuwang

Hello,

Hello MSOS members,

Can you please share how your institution deals with dispensing and administering High Dose (30 mG/kG or more)Solu-Medrol to pediatric population.

I am mainly interested in:

1. Do you dispense concentration based product (62.5 mG/mL or other) or total drug/volume XX mG/100 mL.

2. Do you have standard administration time for administration of the full dose? 15 minutes, 30 minutes, 1 hour.

All feedback is greatly appreciated.

We are trying to implement clinical decision support for baclofen prescribing due to several cases of excessive dosing & neurotoxicity in our system (particularly with initiation of therapy and in patients with renal impairment.)

We are struggling to build this content to fire appropriately for new starts but not to impact patients already on baclofen therapy (especially for spasticity) so as to avoid causing harm from baclofen withdrawal in those patients.

Good morning -

We are in process of modifying the default max dosing for dexmedetomidine infusions at our hospital. Can others in this group comment on what the default max has been set at at your institution?

TIA

Good morning -

We are in process of modifying the default max dosing for dexmedetomidine infusions at our hospital. Can others in this group comment on what the default max has been set at at your institution?

TIA