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

Hello.

We have some NICU providers that use silver nitrate for trach cares. If this is practiced at your organization, do you take any special precautions? Is it treated like a bedside procedure? Time out performed?

Thanks,
Stacie Ethington MSN, RN-BC
Nebraska Medicine

Good morning ,

Can anyone share examples of policies or processes for transferring patients requirements with active medications or patient specific medications?

Scenarios :
Patient transfer from ED to Inpatient units with active heparin drip, PCA, veletri infusion.

Patient transfer from Med Surg inpatient units to Critical Care units with patient specific medications.

Will you require always the nurse going with the patient?

Thank you very much

Hello everyone,

Are you allowing teachers accompanying nursing students in training in your facilities to perform an independent double check (IDC) of what the student has prepared and if yes could you please elaborate on your rational? Or are you considering the couple student-teacher as one person and require a third healthcare professional to perform the IDC?

Thanks to all the MSOS members who attended our MSOS meeting on Sunday afternoon this past week at the ASHP Summer Meeting in Boston. We'll be following up on the ideas presented. Thanks also to those who joined us for our networking session on Monday evening. It was great to see everyone there.

Regards,

Chris and Mike
MSOS and ISMP

Hi All
we currently allow 2 dosing units for IV nitroglycerin - mcg/min and mcg/kg/min. We have seen some errors where providers enter in 10 mcg/kg/min (instead of 10 mcg/min) and are hoping to switch to using only 1 dosing unit. almost all of our other pressors/inotropes utilize weight based dosing so we would like to be in alignment with those.

Has anyone converted their nitroglycerin dosing unit to weight based dosing (mcg/kg/min)? if so what are your standard dosing range(s)? Was there any literature you used to support this transition?

We are in the process of reviewing how our department deals with Pharmacist and Pharmacy Technician errors and the delicate balance of education, assessing root cause, as well as implementing discipline when needed.

Would anyone be willing to share their Policy or current process that seems to be effective?

Thanks in advance,
Kristin Judski, PharmD.

Hi all-
We have IV products that are refrigerated. Once the product comes out of the fridge, is labeled, and warms up a bit, the labels tend to fall off. How have others dealt with this?
Using another label manufacturer is not an option and our best solution is to use clear tape to secure the label.
We are an Epic facility and use the Seneca Medical labels with the detachable patient information.
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Do you have examples of how you track and manage recommendations or topics from ISMP alerts and/or other sources.

With the bi-weekly information and the variety of topics it takes time to communicate out on the information and identify the specific groups to take action. I am looking for tips and ticks for what others have found helps to organize the work.

TIA - Rhonda

Hi everyone,

Heparin Drip Protocols can widely vary in how they establish maximum thresholds for initial doses and subsequent boluses/continuous rates.

For instance, one standard approach to acute coronary syndromes incorporates:
1. Initial Bolus = 60 units/kg (maximum: 4,000 units)
2. Followed by 12 units/kg/hour (maximum: 1,000 units/hour) continuous rate