We are trying to determine if JC or CMS have explicit language that prelabeling of syringes should not be done. I am not finding anything outright in the JC standards or NPSGs, but understand these organizations discourage it. We have an upcoming CMS visit and are having some back-and-forth with the anesthesia group on this one- the ASA has counter-arguments to the safety concerns that are raised. Has anyone been cited on this?

Thanks,

-Lara Ellinger

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Topics:

Shedding Light on a Black Hole: Local Anesthetic Use in the Pediatric OR.
Meghan Rowcliffe PharmD, BCPS, BCPPS Medication Safety Officer, Pediatrics The Johns Hopkins Hospital

Does your organization allow tap water use for diluting medications for administration via feeding tube? Or do you require purified/sterile water for this purpose?

Hello All,
I am currently trying to justify a pharmacist position as the MSO in our institution. Does any one have job descriptions for their position that I may use to solidify my role?
Thanks so much!

Does your organization have a policy regarding the practice of pre-spiking IV bags? Are any exceptions to this policy allowed?

I'm curious what specific high alert medications that other institutes do an independent double check on? I'm also interested in finding out when they require those double checks; during rate changes, concentration changes, starts, etc. We recently put a hard stop in our system to force a check on a few of our high alert medications and we are getting pushback (and work arounds) due to workflow issues. We still have other meds that a force hasn't been instituted on but until we get workflow sorted out I am hesitant to add more.

Hello,
Is anyone else having concerns with these sets leaking? We are finding this happening on all the bi,tri, and quad fusion sets quite frequently.
Thank you, Diane

Hi,
I am wondering what others do about standard parameters for blood pressure medications.
example: hold medication if HR or blood pressure less than a defined amount.
wondering how to create reasonable standard parameter.
appreciate any opinions as well on this practice.

Hello,

We are converting to CADD pump Cassettes for 46 hour and 96 hour home infusion of 5-FU. (Currently we send home with IV bags).

Does anyone have an orderset/SOP that they would be willing to share?

Thanks!

I'm interested to know how your organizations are managing the "Important prefilled syringe safety information"? The information recommends special handling instructions for certain lots of Carpuject(TM) medications. The instructions include recommendations to withdraw medication from the commercially available cartridge-type syringe using a filter needle into another syringe for administration.