ordering albumin while NICU baby is on TPN is typically run separately not concurrently in the TPN bag. If anyone is familiar with this practice of adding albumin in TPN bag, what has been your experience?

Our chemotherapy trained nursing staff administer all NIOSH Group 1 medications that are IV. Oral medications can be administered by any nurse. We have yearly training for all nursing staff on these medications through computer based learning. Chemo trained nursing staff have more in depth yearly training.
I wanted to see how other institutions were handling administration of NIOSH Group 1 oral medications. I would like to see chemo trained nursing staff administer all NIOSH Group 1 medications.
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer

Hello,

Has anyone implemented strategies to adapt to the labeling transition to mg and mcg from International Units for vitamin A, D and E? For example, have you done education or made changes in your EHR? We recently started getting cholecalciferol with labeling in the new format. Thank you! ---Jeff

https://www.ismp.org/resources/container-label-changes-vitamin-d-and-e

Hello,
Does your organization have a functionality within a Cerner Millennium EHR of being able to scan for correct patient AND correct product? Currently, we scan patient and scan Manufacturer bar code but this does not prevent accidental exposure of using another patient's insulin pen. Sharing your solution would be greatly appreciated.
Thank you

Marilyn Hargett

Hello All,
My organization is planning to implement BD Pyxis IV Prep (formerly CATO)within the next fiscal year and are looking to connect with anyone who has implemented this within Cerner Millennium EHR. Please message me directly cwalsh4@pennstatehealth.psu.edu. Thanks!

Chris Walsh

Wanted to learn if any organizations are performing staff-led safety walkrounds. If so, can you describe the structure and frequency of the walkrounds and if possible share any "scripted" questions that you ask.

Thanks!

Do you have any alerts in your EMR (for the provider or the pharmacist) to prompt evaluation of compliance for patients admitted on clozapine from home? After polling the pharmacists at our hospital, most have on their radar to evaluate for issues of neutropenia, but most were not aware of the serious risks of restarting therapy in patients that have had interruptions in dosing of > 2 days.

I am presenting ADR e-code data for our institution at our Medication Safety Committee. For anyone that has presented this data before, what ways did you break down the data? per 1,000 med administration? per admission? other ways?

Also what e-codes did you include in your review?

Thanks,

Jeff McCarthy
Southcoast Health

Hi all,

Our current inpatient practice for insulin detemir (U-100) is unit-dose preparation by pharmacy using vials and 1 mL insulin syringes.

Doses ~greater than 75 units can cause the syringe to become unstable and plunger/stopper to possibly fall out (stopper is close to the end)

Alternative solutions come with pros and cons; curious to see what other facilities are doing for these larger doses.

Our anesthesia and neuro groups had some back-and-forth regarding the optimal units to use for ketamine infusions. Anesthesia initially wanted a rate (non-weight-based), but now have agreed to go with weight-based. The question is now whether to use mg/kg/hour vs. mcg/kg/min for continuous infusions. What do you use at your institutions? Do units differ for different indications/specialties?