MSOS Discussion Board

Omissions due to failure to mix or activate IV meds

Joanie Cook's picture

Forums: 

Has anyone attempted to address the issue of delayed or omitted meds (mostly antibiotics) due to nurses forgetting to activate or reconstitute AddVantage/ActBag/duplex bags? I doubt we would ever go back to pharmacy mixing these. Are there any published recommendations? I'm especially concerned about first doses and sepsis patients, etc. Thanks

Automated Tray Check Process

Daniel Kudryashov's picture

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If using an automated tray replenishment and checking technology (e.g. TraySafe, IntelliGuard), what level of pharmacist oversight of the tray replenishment process do you require?

A) pharmacist checks the labeling/tagging of medications to be placed in tray
B) pharmacist checks the final replenished tray prior to sealing/locking of tray
C) Both A and B
D) Other, please define: ________

Thank you,
Daniel

Beacon KPIs

Trey Jenkins's picture

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Greetings-
My organization is going live with Beacon (EPIC-oncology platform) later this month. I am reaching out to see what other organizations have selected as key performance indicators (KPIs)for the oncology (inpatient and outpatient) care settings.

Warm Regards,

Trey Jenkins PharmD., BCPS
Medication Safety Officer
WellStar Health System

Cerner and Med Rec/Med History

Randi Trope's picture

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Was wondering if anyone who uses Cerner and has a good process for med history and med rec can reach out to me and be open to a conversation?

I'm new to an institution that has Cerner and the compliance with med rec is not very good...looking for some built in forcing functions within Cerner that people may have utilized to accomplish improved compliance.

Thank you,

Randi

Barcode Scanning Compliance - iohexol contrast agents

Brian Price's picture

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In tracking barcode scanning compliance, our diagnostic imaging dept frequently comes up with terrible compliance rates. We've narrowed down that the iohexol (omnipaque) contrast is the primary problem. I'm told it gets loaded into a device for administration and the original vial/barcode are not available at the time of administration. Have other hospitals had this same issue? Have you found a fix for this issue?

diagnostic radiology agents and association with use/indication

Christine Cheng's picture

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Are there institutions that have diagnostic radiography/imaging agents (e.g., iodinated contrast agents, technetium products, gadolinium contrast agents) in the normal workflow with other drugs, where they need to be associated with a use or indication or procedure (ICD, SNOMED) for the drug order and/or to populate the patient problem list? I don't recall dispensing these when I was in hospital pharmacy, but perhaps that is institution-specific.

TJC’s new Maternal Complication Standards

Kelly Besco's picture

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I hope this post finds you well. Our hospitals have been working on developing processes/strategies to align with TJC’s new Maternal Complication Standards.

One of the projects involves emergent management of eclampsia. The protocol that our OBs are proposing is from ACOG and recommends that 5 gm/5 mL intraMUSCULAR magnesium (x2 doses) be given to patient that do NOT have IV access. The total dose equates to 10 grams and involves using 50 % concentrated magnesium.

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