Nurse manager contacted me with the following question (see below). What are folks doing in their various workplace. Best regards
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We currently have Pitocin orders for “ 20 Units/ LR IV drip @ Wide Open (1000 ml bag x 1 bag). This poses a potential patient safety concern as there is no specific rate. This order is used in the post-partum phase (hemorrhage control/prevention). Does ISMP provide a recommended rate? Your feedback and input is appreciated.
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Hello all,
one of the JC standards looks for institutions to collect data on significant adverse drug reactions. We do quite a bit for med errors but could use some direction for ADR's. Can anyone share a tool they use and how you define "significant"?

Thanks!
Rachel

Does your hospital have an overarching committee that oversees smart pump technologies for multiple hospital systems.

Who are the members?
What are there responsibilities?

Could you share policies governing smart pumps?

Thank you Mark

Hello!

I am writing today to ask a question in regards to the preparation of bladder instillations (products to be administered intravesically into the bladder) in the outpatient space.

Typically these bladder instillations or bladder “cocktails” involve a combination of injectable heparin, lidocaine+sodium bicarbonate or bupivacaine, steroids and sometimes gentamicin. Typically these are administered in the office setting, however in some instances patients may be taught to administer such therapies at home as well.

Even with the lidocaine/epi shortage, our OR staff does not want to use as a MDV d/t infection risk and use in the sterile field.

Is anyone drawing up prefilled single-use syringes for OR use, and if so, what BUD are you using?

Thanks for any feedback!

1. Do you utilize an USP-NF 797/800 compliant clean room in your OR satellite pharmacy?
2. If not, do you have plans to update your OR satellite pharmacy to a USP-NF 797/800 compliant clean room?
3. If not using a USP-NF 797/800 compliant clean room, where are you mixing IV's for planned and urgent use in the OR? Any comments on stability dating are also appreciated.
Thank You,
Cathy Goetz, Medication Safety Officer
St. Luke's Hospital
Chesterfield, MO 63017

Hello All,

We are currently in the process of evaluating intrathecal medication administration in the outpatient setting, with anticipated use of barcode med administration (BCMA) and provider eMAR documentation. We would be interested to know how your institution handles intrathecal medication documentation in the outpatient setting. If there is a different process for inpatient administration, please comment as well.

We currently dispense tranexamic acid (TXA) in both an irrigation and iv solution. I wanted to see how other institutions dispense TXA as an irrigation. Do you dispense in a pour bottle, iv bag or something else?
Thanks-
Maria Cumpston
WVU Medicine
Morgantown wv

Hello!

Pharmacy is being challenged with feedback from nursing in the ED where Lorazepam inj is stored in a lock box in the ED pyxis refrigerators and the challenge in managing dispensing practices, especially with the use of a lock box key. (key stored in pyxis and must be removed before accessing the refrigerated lock box – completed through use of pyxis virtual kits). The current process has been established to ensure the Ativan inj is secure, while remaining compliant with the manufacturers recommendations for storage under refrigeration only.