How does your institution handle dispensing and administration of IVIG?

1. Do you dispense individual unopened bottles for the full dose or pool drug into one bag for one dose?

2. If dispensed as individual unopened bottles, do they all have separate labels?

Would love to hear some input from other institutions to help optimize our process!

Dear all,

We are reviewing an appropriate product for deactivation after a Hazardous Drug (HD) spill. Our HD spill kits do not have a deactivation agent. What do you use at your site. Some of our sites are using peroxide, which is not ideal in patient care areas.

Thank you,
Deepika

Inviting insights on you scoped bolus doses of hypertonic saline (sodium chloride 3%) in your hospital. The challenge we're facing is the fact that it only comes in 500 mL bags, which is look-alike packaging with other IV fluids.
The issue we see is that providing the entire 500 mL bag for a bolus (often 100 mL or 250 mL) means dispensing a high-alert medication in a volume that doesn’t match the intended dose. This presents a risk for unintentional re-initiation of the remaining volume, especially since hypertonic saline is a high-alert medication.

Does anyone have a template they use for FMEA or a general risk assessment that they could send me? I was asked to do a risk assessment of our high alert meds. Thank you!!

Please see image below. We received a vial of unlabeled argatroban. West-Ward product 0143-9559-01 lot: 10002057 exp 7/25 all other lots/vials appropriately labeled that we could find. Sharing for awareness - manufacturer notified.

We are looking to standardize the infusion duration of bolus opioids in non-critical care areas. Our oncology unit currently infuses opioids over 15 minutes via the pump while other units are less standardized (hand bolus vs. 2 mins via the pump vs. 5-15 mins via the pump). What is the practice at your facility for bolus opioids? Thanks! -Melody Sun, CHOC Children's

Would anyone be willing to share their processes for follow up on safety events? In current state, we require leaders to investigate and document (what happened, why did it happen, how are we preventing, and what was the outcome to the patient). We require any leader to add follow up if their department/staff were involved. We have great reporting culture, but are finding that the tediousness of the process (and software) is causing a backlog of events.

Is anyone else experiencing issues with leaking at the hub interface with ICU Medical 25 G needles and vaccinations?

Hello, I am trying to review our override list for this year. We currently have a standardized list throughout the hospital. Some of our nurses are requesting a unit/ area specific list and I am looking to get feedback on the safety parameters for that.

Does your institution utilize area specific lists, or is it a standardized list? I came across some articles that support the use of a standardized list.

Appreciate your feedback!

We had a recent event in which a patient needed Narcan but didn't have an active order for it although they had opioid pain medications ordered. What we found is that the opioids were ordered off of a providers preference list and not through an order set. When opioids are ordered through an order set then there is logic in place to automatically order narcan PRN if there is not already an active order for it. We are an Epic facility. Just wondering what strategies systems have employed to ensure patients with opioids ordered have an active narcan order to help prevent delay in care.