We're in the process of rolling out BCMA and have gotten a little more than 50% of the way through this.
We're a pediatric hospital and we still prepare all TPNs on-site.
We use ABACUS for TPN processing. Prior to BCMA our workflow was to affix all products with an Abacus patient label.
Post go-live with BCMA, the workflow changed such that we're now having to affix 2 labels on TPN bags. The Abacus label with the list of detailed ingredients for the TPN, and now a Cerner label which contains the barcode that's needed for the RN to scan.

Hello,
We're currently in the middle of planning to go live with DosEdge in September ( 2017).
As we understand it they have several planned downtimes.

I wanted to know if anyone has downtime procedures you're willing to share that you've found to work well. We're writing draft policies now and don't want to learn from others without reinventing the wheel. We know we can't think of everything as we in the middle of planning, training, and getting things set up.

Thanks!
D. Patrick
Childrens National Health System

Thanks so much

Dear all,

Can you please share the workflow you have in place in your respective organizations for the management of patients on triprostonil. While we have a comprehensive procedure, I am looking at developing a quick reference guide on best practices for management of such patients (mini checklist, patient pump card..etc)

Much appreciated,
Rabih

Hello!
I was writing today to inquire about Error Reporting Systems and the maintenance and management of this system at your Health Systems / Organizations.

Hello,
Is anyone aware of any regulations in New Jersey or other state where bolusing propofol is only allowed by a CRNA or anesthesia?

If so, have you identified any exceptions or work around this for this? It is currently our number one most overridden medication in the smart pump and we had initially considered building out a bolus order in epic until we learned of this new regulation.

Best,
Rachel

Hello,
Is anyone aware of any regulations in New Jersey or other state where bolusing propofol is only allowed by a CRNA or anesthesia?

If so, have you identified any exceptions or work around this for this? It is currently our number one most overridden medication in the smart pump and we had initially considered building out a bolus order in epic until we learned of this new regulation.

Best,
Rachel

I'm interesting in knowing what strategies you have in place for safely communicating blood glucose readings from patient care assistants to nurses. I've seen cases where patient A has been treated for patient B's blood glucose level, and even cases where a patient has been treated for a blood glucose level that was actually a room number.

Given human nature, how do you stop someone from telling a nurse "213's blood sugar was 308"? Or from jotting down the blood glucose readings for 8 patients on a piece of paper, and then transposing numbers when entering them in the computer?

Hello,
We are exploring setting a benchmark goal for RN use of smart pump libraries. Does anyone have a "best practice" or goal percetage they would like to share and explain why this is the target?

Regards,
Laura Steinmetz-Malato, PharmD
System Manager Medication Safety
Swedish Health Services
Seattle, WA

Recent injury report of a nurse cut when plastic flange broke when administering the dose during a code. On follow up, I was advised that several other syringes have done the same thing. We have placed a formal report with the company but I wanted to reach out to this group to look for any similar occurences. Staff do describe it taking a lot of pressure to administer the medication

Any feedback is appreciated

Julie Caler
MSO Western Maryland Health System

Dear all:
I know this is not the first time to bring this question, but I tried to search for it in the forum topics and could not find it.
In our hospital I am working to establish a medication safety team/unit, currently I am writing the business case or proposal for it. I am planning to include the number of big hospitals similar to our hospital (Tertiary care leading teaching hospital with around 1100 beds) that have a structured medication safety program/ team / unit with a full time FTEs in the document.