Hello All,
For those Pharmacy Departments preparing Exparel plus bupivicaine, is the mixture prepared in a bag or syringe? How does the surgical team decant onto the sterile field? Does the team use a basin or some other device?
Pharmacy and Infection Control like a syringe to syringe transfer device however the operating room nurses do not.
Thank you in advance.
Maria

Has anyone been successful in tackling this item from the “ISMP National Summit Optimizing Safe Implementation and Use of Smart Infusion Pumps: Post Summit Draft Safe Practice Statements”:

"2.14 Standardize the management of infusion OVERFILL, volume to be infused (VTBI), and FLUSHING parameters (for INTERMITTENT INFUSIONS)."

This topic gets debated at my facility every couple of years, and we've never come to a consensus on how to handle it.

Just wondering if any other Epic hospitals with Beacon specifically have worked out a way to handle the below scenario.

We have recently developed a midline/PICC policy and the IV team RNs are requesting a list of formulary medications that can be administered through the midline based on osmolarity.

1. Does anyone provide Nursing with a list of meds appropriate/contraindicated for midline administration?
2. If yes, is this list included in the policy?
3. If yes, how do you maintain the accuracy of this list?
4. Does anyone have any EMR rules/alerts or order/product comments that speak to midline administration?

Thanks in advance!

Hello,

Due to space limitations, we use anesthesia trays instead of ADC in our procedural areas. We've been told there is no technological ability to use barcode scanning to fill these trays in the pharmacy to prevent errors with medications being placed in wrong slots.

1. Has anyone figured out a system to utilize barcode scanning?

2. If not, what other strategies have you found successful in preventing anesthesia tray misfills?

Thank you in advance.
Viktoriya

Hello,

Looking if anyone has a policy or an established best practice on how long before a surgical case or in procedural area meds can be removed from an ADM - primarily for OR nurses, anesthesia staff, CTOR staff, cath lab, etc.

Our lead time for the ADM on profile stations is set to 1 hour. Our policy for med administration is based on the CMS reg.

Thank you!

What is various hospital practices for beyond use dating of sterile ophthalmic products?
I am guessing most are either using manufacturer expiration date or 28 days.
The only literature I have found is from ASORN recommended practice published August 2013 stating 28 days.

Do you have other literature? Do you have different practices for other multidose products such as topical ointments?

Hello,
Has any hospital in Ohio addressed medical cannibus for when patients are admitted and they take as home medication? Does your organization allow? Do you have a policy for review?

Thank you in advance for your time.

From 3.5 of recommendations. Do NOT withdraw IV push medications from commercially available, cartridge-type syringes into another syringe for administration.

I'm receiving questions on how to dilute meperidine and lorazepam when they come in cartridge-type syringes? Does your pharmacy send these doses diluted? If not, how is nursing diluting.
Thank you

Hello!
We are trying to find supporting regulatory information for us to NOT allow "if/then" or conditional orders. We have had some events/near misses where the provider entered instructions such as "give if xyz condition is met" (lost IV access, or patient NPO, etc). These instructions are easy to miss by both nursing and pharmacy during normal workflow.
I have found an ISMP recommendation to avoid conditional orders in order sets, but I cannot find anything else to support our desired state. Am I missing this somewhere?