Hi All,

We are working through improved notification of NG/OG tubes as it relates to medications that cannot be crushed.

How does your institution make sure meds that cannot be crushed, are not crushed?
Are you doing anything unique?

We have locked down order sets routes (e.g. only available by oral route), included information on the ADC that is on the order, and have added administration instructions, "do NOT crush".

time critical meds categories here at our institution is fairly broad, general stating 'antibiotics, anticoagulants, pain meds'. a specific medication list that identifies unique names of drugs -does anyone have one to share? how does your hospital define time critical, 30 minutes, scheduled meds only? jbrady@svmh.com

Dear Medication Safety Officers,
In preparing Hypertonic saline 3% as nebulization from the IV product, does it need to be prepared in sterile area as IV preparation?
If Yes, can oral syringes be used instead of IV Luer Lock Syringes that is potential to cause harm if given IV by mistake

Iam curious to know your practice around

Our pharmacy technicians are finding empty plastic bags from medications with patient name and other identifiers in the trash. What are nurses at your institution doing to keep this information confidential? Black out name with sharpie or label? Other?

Good afternoon,
It used to be recommended that nursing "double prime" IV insulin prior to administration.
Are organizations still doing this, or is this an old practice?
Thank you,
Stacie

hello every one
can ask if contrast media using for x-ray it is classified as high alert medications

For those of you who are using portless tubing in your facilities, have you found effective measures to address air in the line? Our nurses feel an excessive amount of medication is wasted and pressors are being paused for an extended period while they attempt to clear air bubbles.

Does your institution use push dose pressor (PDPs) (phenylephrine or epinephrine) outside the ORs?

If you use PDPs what safeguards did you put in place?

Have you seen errors and or ADEs with PDPs?

Where do you allow PDPs to be used?

Thanks, Jeff McCarthy
Southcoast Health

Hello,

Hoping to gain insight into other institution's practices regarding infusion bolus administration from infusion pumps.

Questions:
1. Does your institution allow nursing to administer boluses from infusion pumps?
2. If so, is the practice allowed for all infusions or are there exclusions?
3. How do you reflect this practice in your electronic health record to ensure documentation and patient charging is appropriately occurring?

Thank you!

Hello - our USP 800 implementation team would appreciate your response to the following question: What is your process for wasting PPE used during the administration of NIOSH Group 2&3 hazardous drugs?