Have your facilities encountered the d50 shortage for hypoglycemic events? If so, what alternatives are you using besides glucagon? Are you pre-making in pharmacy? Sending large volume bags? Thanks!

MGMC allows 4 grams/24hr as an acceptable max daily dose of Tylenol. Is this similar to your institution? Or have you adopted a lower max dose (e.g. 3250mg)? We recently have had a couple patients experience Tylenol toxicity when they received the acceptable 4 gram/24 hr of Tylenol. We are exploring the idea of lowering the max dose of Tylenol, has anyone experienced the same thing and has made or is considering this change?

Thank you

We have nurses that mix injectable midazolam diluted in apple juice and given orally to patients in a waiting room prior to eye procedures.

Is this a practice that happens in your facility?

Do you require specialized training in procedural sedation? If not what are your guidelines for monitoring these patients?

Thank you,
Shonda

We have nurses that mix injectable midazolam diluted in apple juice and given orally to patients in a waiting room prior to eye procedures.

Is this a practice that happens in your facility?

Do you require specialized training in procedural sedation? If not what are your guidelines for monitoring these patients?

Thank you,
Shonda

Does anyone's site have (in)formal Cervidil (dinoprostone) restriction criteria?
TIA!

Hello,

we would like to revamp our medication transfer process. We are not consistent in transferring medications along with patients. While nursing is deemed responsible for this task, processes vary pending the unit and type of transfer. We are interested in what other organizations do and if you encounter similar problems.

1. How often is it perceived that medications are lost during patient transfer, and/or do you have actual numbers? If you have actual counts, what metrics/methods are you using to identify meds lost during transfer?

Does anyone utilize a peer review method (council/committee) for medication events reported in an event reporting system?

Hi everyone -

We recently reviewed allergy entry in our EMR in conjunction with our abx stewardship team. Through the review it was noted we have opportunities to improve the entry as well as educate our staff better on allergies, reactions, intolerances, etc. Reaching out to the group to see if anyone has any materials along these lines to provide as a teaching tool to provide to staff, our main audience is likely nursing followed by pharmacist and pharmacy technicians.

Hello,
Does anyone have any experience removing steroid inhalers from their inpatient formulary? This would be in an effort to decrease inhaler waste and prevent duplicate therapy, as most exacerbation patients are placed on PO/IV steroids.

Hello,
Anyone have an ERAS protocol for cardiac procedures that your site is utilizing?