MSOS Discussion Board

ISMP IV Push Guidelines

Marilyn Hargett's picture

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Hello,
I am curious as to what others are doing with the ISMP IV push guidelines and to not dilute medications unless required. For CVC/PICC lines in particular what is your practice with such medications as IV dilaudid (which does not require dilution)to be administered in these vascular lines? Concerned with the recommended 10cc syringe to reduce excessive PSI pressure in line and the very small amounts of dilaudid ordered at times.
Thank you in advance for your input.

Marilyn Hargett

HIV Post-Exposure Prophylaxis in Patients who May Become Pregnant

Christina M. Di Donato's picture

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Hello,

Back in May, the CDC released an interim statement about the possibility of neural tube defects in infants exposed to dolutegravir in utero. Here's the document: https://www.cdc.gov/hiv/pdf/basics/cdc-hiv-dolutegravir-alert.pdf

Since PEP is such a short course of therapy, the question is whether dolutegravir should be used in patients where pregnancy is only suspected (e.g. sexual assault victims, unprotected sex with someone whose HIV status is questionable, etc.)

Transporting light-sensitive medications

Lauren Boc's picture

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What is anyone's department's practice hen transporting light sensitive medications from the pharmacy to the ADCs on the floors? Since the medication will be exposed to light for an unknown period of time, are they transported in light sensitive bags? Is anyone aware of a best practice on this topic?

STOP BANG

Elizabeth Rebo's picture

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Hi all -

My organization is looking to implement STOP BANG for all of our patients (it's a nursing assessment tool to determine if a patient is at high risk for an opioid adverse event). We do it in the peri-op setting currently, but are looking to expand house-wide.

That being said, we want to determine best practices from other organizations - what monitoring is in place (pulse ox vs. capnography), what "score" necessitates what intervention/monitoring, etc.

Is anyone using STOP BANG house-wide?

Thanks,
Elizabeth

T-VEC drawing up in syringes in isolator?

Davina Lau's picture

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Hi all, I've noticed a few hospitals that are drawing up T-VEC in their hoods into syringes to dispense and was wondering if anyone else is doing this?

The PI does not recommend this and states not to do this until right before administration - previously in my last hospital we also dispensed the vials directly to the consultant.

I was wondering as well is there anyone here that was involved in the clinical trials for T-VEC and hence might be privvy to longer stability data/reconstitution times used during the trial that might differ from what is being marketed.

evalution framework for biomedical service vendors

Helen Gibbons's picture

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Does anyone have a framework for what to evaluate when comparing biomedical service vendors? From the pharmacy perspective, availability and expertise in updating non-wireless libraries is what comes to mind.
Appreciate any thoughts from others who have been involved in a similar process.
thanks

Non-standard concentration infusions

Joanie Cook's picture

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We've considered adding this "class" to our high alert medication list. Only happens very rarely, since we already have may approved "double concentrated" drips. I supposed it would be challenging to even detect how often non-standard concentrations are built.

I'm pretty concerned that a surveyor may not appreciate seeing this class on our list. Although acknowledging the risk and trying to address it may be better than ignoring it?

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