Hi,
Looking for P&Ps, protocols for ketamine use for pain in ED/ICU; and/or palliative/refractory pain.
anything you can share is appreciated!
Kathleen Black
Kathleen.black@dignityhealth.org

Hi there:

I am working with our RN Q&S colleagues to revise the hospital observational medication audits on the floor (med pass audits).

There was some discussion on the message board about this previously, but did seem not generate a lot of response-- thought I would give it another shot.

Wondering if others had a particular format, checklist, or software for completing these audits?

Please feel free to share any forms or experiences with this.

Thanks,

Paul

What does your infusion pump library look like for medications that have different doses/dose ranges based on indication or organ function? Example: We have Alaris/EPIC integration and we have different vasopressin entries (shock versus GI bleed). We are specifically looking at bivalirudin and the potential use in ECMO. We already have two entries (bivalirudin PCI and bivalirudin PCI with renal dysfunction) and are wondering what strategies others have put into place in order to optimize guardrail limits without overloading the number of entries.

thanks,
Gina

CDC guidelines on pneumococcal vaccination-patients who do not meet age/disease state criteria but receive multiple doses of PPSV23, what could be health implications of this? other than duplicate costs of medication/labor, if there have been cases where a patient has received several doses of PPSV23, once a year repeated in less than 5 yrs.

This might be a little off topic, but... Do any facilities use RFID tags, or something similar, on their infusion pumps so they can find them? We recently purchased 20 PCA modules for our Alaris pumps, and most of them are MIA. It is a ridiculous waste of time and money to not be able to find these pumps when you need them. Any help is appreciated!

We are in the market for a new IV infusion pump and we have a pump fair in August. Does anyone have an assessment tool to rate and compare smart pumps?

I reached out to ISMP and we have started an internal assessment tool as well.

How is the pharmacy and cath lab relationship like at your facility? How are you ensuring that they are compliant with the various preventative measures in place for high alert medication use in the area? Do you perform audits? If so, what do you audit? Anything special are you doing in your facility to ensure continual safe use of medications in your cath lab?

I'm looking to improve the relationship with pharmacy and cath lab and I want to find out how others are working with cath lab to improve medication safety

We are preparing for smart pump and EHR interface and were directed to use 2D barcode labels on the pumps. However, with more than 900 barcode labels to start with, our biomed engineering department has concerns with a potential mislabeling that will eventually lead to orders populating wrong modules and then difficulty in investigating related errors. It was suggested to use linear barcode labels (as some hospitals do) with a number related to module’s serial number, as a layer of safety (I‘ve attached a photo of 2 different barcode labels).

We are preparing for smart pump and EHR interface and were directed to use 2D barcode labels on the pumps. However, with more than 900 barcode labels to start with, our biomed engineering department has concerns with a potential mislabeling that will eventually lead to orders populating wrong modules and then difficulty in investigating related errors. It was suggested to use linear barcode labels (as some hospitals do) with a number related to module’s serial number, as a layer of safety (I‘ve attached a photo of 2 different barcode labels).

Hello all,

I hope this message finds you well. I wanted to inquire if any of you have served on teams within the pharmacy department at your respective institutions and helped to develop scorecard objectives. If so, what things have you identified as a metric from a safety perspective? Or what are you measuring and reporting out as a part of your scorecard that highlights safety within pharmacy department?

I would love to hear any ideas you may have. Having a hard time on our end with coming to an agreement and have been sent back to the drawing table.