Is anyone aware of any groups, networks, etc. focused on medication safety/medication management in critical access hospitals? We are a large health system with many CAHs in multiple states. Thanks!

Hi all,

We recently had a patient admitted with a continuous glucose monitor. If your hospital has admitted these patients, how are you managing them?

Thanks in advance!
Meghan

All,

Do any of your organizations split your smart pump parenteral nutrition limits up between cyclic and continuous? If so, please consider sharing info.

Thank you,

John

Does anyone allow the infusion of 3% sodium chloride outside of a critical care/ICU area? We have nephrology order it occasionally on our short stay or telemetry unit but our policy says it can only be administered in Critical Care. We are reviewing if that policy needs to change. We do have a dual sign set up in Epic because it's a high risk infusion.

Thanks.

We are attempting to develop a nurse driven protocol for the treatment of IV extravasations to decrease delays in treating patients. Has anyone developed a protocol or do orders for antidotes require an order from the MD?

Thank you,
Carey Estes, MSN, RN, CPPS
Mission Hospital
Asheville, NC 28801

Recent changes in state law in the State of Michigan has permitted the recreational use of marijuana. Looking for organizations that have integrated marijuana documentation into their EMR and any supporting policies.

Thanks for your time,
Lee

Is anyone having an issue with the safety mechanism on the Lovenox (R) 40 mg pre-filled syringes?

Can you share how your institution dispenses insulin when patients are receiving 2 units or less? Are you sending up the vial (100 units/ml) or are diluting in pharmacy and sending up patient specific syringes?

Thank you.

Is anyone willing to share if your hospital has an IV push policy and what it looks like?

Thank you!

For those institutions doing solid organ transplants, is pharmacy purchasing your preservation solutions (ex, Belzar, Custodial, Perfadex)? Due to the high electrolyte contents, do you have any specific safeguards in place for safe use? Is it ordered as a medication through CPOE and dispensed from pharmacy patient-specific?

Thanks for your insight!