Hi,
We are currently reviewing a situation where lorazepam injection was required from Pyxis, but there was a delay noted and accessing the medication from pyxis contributed. Currently, it is treated as a controlled product requiring a count.
How do other emergency departments access a medication rapidly when required, but still meeting safe ADC guidelines as well as regulatory responsibilities?
Thanks,
Terry Davidson BSP
Med Safety Resource Pharmacist
Royal University Hospital
Saskatoon, Saskatchewan, Canada

Has your facility come up with a good process for documenting a wrong drug error on the MAR? Wrong DOSE errors are easy to document, since the RN can override a dose warning and complete the documentation. However, if the medication was never ordered, there is nothing for them to document against if a wrong DRUG error is discovered. I feel that the MAR should be an accurate representation of ALL medications that were administered, even if it was done in error.

Hello all,

We just discovered that our medication tray supplier no longer carries the colored trays we have previously used to designate the pediatric crash cart trays from adult trays. What are other organizations using to differentiate?

Thanks!

If a prescriber increases a fentanyl patch dose on day 2 of therapy (increase from 100 mcg to 150 mcg), do you:
1. just add on a new 50 mcg patch (100mcg patch gets changed in 1 day, 50 mcg patch gets changed in 3 days),
or
2. remove the 100mcg patch. Apply a new 100mcg patch and a 50mcg patch. Both patches will be due for changing in 3 days.

thanks

Good morning, we are exploring options for distinguishing non-standard heparin concentrations for impella devices. We already term the products accordingly in our EMR (Epic) as "purge solutions" as well as identify a unique route of administration, but the request from our medication safety committee was to additional distinguishing factors such as auxiliary labeling. Requesting for the group any further ideas or processes used for these heparin solutions.

Does anyone have a template they are willing to share for medication safety rounds? What all do you look at? What are you asking the front line staff?

We are actively working to implement UCSF's triple scanning functionality in Epic. Has anyone been able to implement this solution available on Epic Universe aside from UCSF? If so, may we contact you to connect with IS to understand the build? If anyone from UCSF is on this page, can you please respond?

Additionally, aside from MSOS, is there a national roster to network? Would there be a benefit in creating one?

Thanks in advance.

Hi all,

Do any institutions have a definition of "on call" in their medication policies? Recently we had an error in which "on call to OR" was misinterpreted, so we'd like to add verbiage to our Medication Orders policy to provide guidance. In our EHR "on call" and "on call to OR" are available frequencies for medications.

Appreciate your thoughts.

Best,
Meghan

We are starting an L&D service, which is new to our organization. The service is being provided by a local adult hospital. They want to use a mixture of atropine, fentanyl and vecuronium in the same syringe for intrauterine injection. They are wanting to make it themselves at the point of need rather than wait for pharmacy.
I'm not familiar enough with L&D to know if this is common. Are there other hospitals that are using this combination of three drugs in one syringe? If so does pharmacy prepare or does L&D staff for immediate use?
Thanks
Mark

Our hospital is currently discussing moving to using tubing with no ports for controlled substance infusions. We are already doing this with PCAs - but this would be for infusions (like Ketamine) that are not administered using a PCA pump/module. Thanks for any feedback!