Does anybody use barcode scanning for medication administration in ambulatory settings, such as outpatient infusion centers? If so, what EHR platform do you use and when did you implement this technology?

Does anyone out there allow high concentration Hydromorphone PCA (above 1mg/mL) in your opiate tolerate and sickle cell population--

If so, what concentration does you facility allow and what safety mechanisms are in place during order entry and pump programming to prevent error?

Thanks!

Paul

All -
Wondering what smart pumps - NICU flight teams are flying with right now.
Thanks - Megan Maddox

Hello! How does your institution handle items like EZ-Cat barium for CT scans? Does pharmacy distribute? Does radiology solely handle it? Is there a prescription written? Thank you!
Sarah

I'm wondering if others who use the 5gm lidocaine 4% cream have had patient complaints about the product 'burning' when applied? Our Wound Center recently switched to the 5gm lidocaine 4% cream as their smaller product; they also carry 30gm Curacaine 4%. The patients have started requesting not to have the 'small tube' because of the burning.

I'm wondering if this is an isolated to our Wound Center or wide spread. The Wound Center is working with the distributor to return.

Thanks.

Carol

Strategies for heparin drug shortage, especially hospitals performing cardiac surgeries? Restrictions being considered?

Strategies for heparin drug shortage, especially hospitals performing cardiac surgeries? Restrictions being considered?

Dear MSOS Members:

Maternal Child RNs have expressed their concern regarding the safety device that covers the RhoGam needle. Some of their concerns are:

- It is difficult to engage the safety shield.

- They feel the safety shield puts them at greater risk for a needle stick as the quality of the material is flimsy compared to prior versions.

- The plunger falls out of the syringe if the syringe is tipped slightly.

The ISMP list of Standard Concentrations of Neonatal Drug Infusions has 2 mg/ml and 10 mg/ml for gentamicin.

The pediatric 20 mg/ml vial states that it must be diluted prior to IV administration. All of the Fresenius Kabi vials state this as well but I'm wondering if it is really necessary to dilute the 10 mg/ml concentration (unless of course the dose is really small and then having a 2 mg/ml concentration would help with measuring smaller volume/dose)?

Lexicomp and Neofax just state that the vial concentration is 10 mg/ml.

thoughts/insight?

TIA!!

How does your organization dispense unsealed topical/bulk products such as hydrocortisone or lidocaine creams/gels/ointments?

Do you tamper-evident seal the product? Do you discard any/all returns instead of placing back into inventory?

Appreciate your feedback!