Hi Guys,
Does anyone here have experience with giving talc along with Vanco 500 mg and Lidocaine 2%-50 mg ? I am not finding any data online but I have a feeling possibly this is a standard practice at other institutions.
Any recipes or help would be greatly appreciated.
Thanks,
Nancy

How are institutions handling ISMP Best Practice #7 regarding storage of neuromuscular blockers in the following locations?
1. Anesthesia ADM
2. Non technology stock carts - example: locked airway carts
3. Code carts

Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Our institution is evaluating nasal naloxone availability.

1) Do you stock nasal naloxone in the inpatient setting? If so, in what inpatient locations and at what PAR levels?
2) Do you stock nasal naloxone in the ambulatory setting? If so, what locations and at what PAR levels?
3) How do you handle visitors (or other non-patients) that need to have nasal naloxone administered? Who responds to these patients and administers nasal naloxone?

Thank you in advance for your help. Responses will be compiled and shared.

Have a great weekend,
Tanya

Curious if anyone uses a color printer for pharmacy labels to help identify high risk populations? Was thiking that a pink banner or border could help differentiate adult vs NICU/Peds. Tried to find literature to support this practice to reduce medication errors but didn't come up with anything. Thoughts? Thanks!

We recently had a near miss reported due in part to the new TJC naming requirement for newborns. Baby [Mouse, Girl Minnie] had an order intended for Mom [Mouse, Minnie].

1. Have you had reports related to this new naming convention?
2. How has your institution implemented this requirement? (e.g. Mouse, Minnie Girl; Mouse, Minnie Babygirl; Mouse, Girl Minnie; Mouse, Minnie's Girl)
3. Are you limited in characters or format by your EHR?

Thanks!
Liz

Hello,
We continue to have issues with Alaris pumps and time-sensitive chemotherapy infusions where at the completion of the infusion time, there is often volume left in the bag.

We have met with the Carefusion rep, and have received general tips on pump height level etc. to improve the accuracy of the infusions, but this has not mitigated the problem. We have also reported this concern to the FDA.

Is anyone else experiencing concerns around specific volumes and infusion times? If so, have you employed any additional mitigation strategies that have helped?

We recently implemented Epic Dispense Prep/Check, Compounding and Repackaging, and Kit Check for anesthesia A Station trays.

Curious what others out there who are using these are looking at for quality metrics with each of these technologies.
Thank you.

Hi,

How does your institution handle the various route options for ordering enteral medication delivery in the EMR?

1) All route options are available to select for all medications - po, ng, og, nd, g tube, j tube,etc
2) Use more general categories, such as "by mouth" or "by enteral tube" (rather than each type of tube)
3) other?

Thank you.

We had a question come up during a mock JC survey about orders for lidocaine in the ED when used for procedures.

Our current workflow in the ED utilizes suture technicians who do not have pyxis access. The surveyor questioned where the order was for the lidocaine they were using while placing sutures (stiches) on a patient.
Does anyone have a process where these technicians have "orders" somewhere" for lidocaine use prior to sutures?

Thanks,
DiAnthia

Safe Medication Management Fellowships

ISMP is now accepting applications for three unique Fellowship programs commencing in 2019

ISMP Fellowships are a challenging and rewarding experience offering a clear enhancement to career growth. ISMP Fellows have a unique opportunity to make a tangible difference in medication safety, and find new medication safety opportunities in healthcare systems, regulatory agencies, the pharmaceutical industry, and ISMP.

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