Hi again!
One more question for the group...

Who is permitted (or restricted) from administering Rho(D) Immune Globulin in the ambulatory / outpatient clinic space?

Do you require RN administration?
Is this within the scope of practice for an LPN?
(...We recognize that this scope of practice for LPNs could differ from state to state, but are still interested)
Are Medical Assistants permitted to administer Rho(D) Immune Globulin?

Thanks so much in advance for your response!
Emily

Hello ~
(two questions coming to you today!)

First is this (in light of the epi auto-injector shortage):
In your Ambulatory/Outpatient spaces (if you have oversight) - do you currently stock EpiPens (or the generic auto-injectors) or do you supply epinephrine anaphylaxis kits (with the vial and instructions for dosing)?

Would you be willing to share your kit / label design and any additional safety measures / training that you have in place for staff, if you are currently stocking providing epi kits to the clinics?

Good morning,
What timeframe does your facility allot for nursing to administer meds with the following order priorities?

STAT -

NOW -

ROUTINE (non-time critical meds)-

Trecia Swanston

This question is specific to Cerner hospitals. Patient specific labels have a barcode, which is great for compounded products where there is not a manufacturer barcode to scan during BCMA. However, on items were the manufacturer barcode should be used (unit dose, premix etc) the pt label can still be scanned. This makes mislabeling particularly risky if the label barcode is used rather than the drug product barcode. We are told by the vendor that it is not possible to remove the label barcode or differentiate products in the system that need them (or do not need them).

Hi,

We're struggling with our bar code scanning rate for Baxter's "Mini-bag Plus" containers. The bags have a white bar code, and our scanners won't read them if there is fluid behind the bar code or if there is a white label on the other side of the bag.

The only way that we can get the bar code to scan is if we squeeze the bag so that there is air behind the bar code AND also angle the scanner so that the flat water surface is below and serves as the background.

Does your institution allow Ciprodex to be allowed in trachostomy tubes? I've seen literature to support its use in preventing granulation tissue formation.

However, there has been some concerns brought up about the boric acid content of Ciprodex.

Has anyone had any discussions surrounding this?

Greetings,

A question has come up at our Radiology Clinic regarding patient's ability to drive home after receiving diphenhydramine for an allergic reaction. Does anyone have an institutional policy or standard of practice on this (e.g. patients are advised not drive for X hrs, or patients are not allowed to drive themselves, etc.)?

Thank you,
Daniel

We are in the process of rewriting the charter for our Medication Safety Committee. Does anyone have a charter for their organization that they are willing to share?

Thank you!
Vaishali

Interested in learning about safeguards that facilities stocking the phytonadione
1 mg ampule product have put in place.

General concerns we have identified at this point include:
1. mix-ups with phytonadion 10 mg ampule
2. mix-ups with methylergonovine ampule

Appreciate any insight to safeguards or risks you may have. TIA!

I am part of a 500+ bed, urban, academic organization. As far as antibiotic infusions go, we currently only run Zosyn as a primary infusion (run over 4 hours); our other antibiotic infusions are run as a primary/secondary set up. During the normal saline shortage, we ran all antibiotics primary and flushed with a 10 mL flush post infusion. Now that we are able to go back to our primary/secondary set up, we are getting some pushback from nursing.

How does your organization infuse IV antibiotics?