Good afternoon,

What strategies have organizations implemented to reduce nursing reliance on muscle memory when selecting products from an automated dispensing cabinet? For example, if historically we have 5 mg oxycodone stocked but are now stocking 10 mg oxycodone in addition to accommodate patients on high doses - there is a concern that a nurse may default to muscle memory and pull 2x 10 mg tablets thinking that they are 5 mg tablets. This of course leads to potential overdose as well as discrepancies from diversion monitoring standpoint.

Good morning, I wondered if anyone was willing to share what items they have put into place to meet and sustain the < 15% target for the concurrent use of Opioids and Benzodiazepine eCQM metric. How are you tackling providers continuing home medications on discharge (not prescribing them, but they still appear on the discharge record). Thanks for any and all feedback!

One of my facilities is drawing up medications to be used for TAP blocks by the physician later in the afternoon. They have (I just learned) begun drawing up BUPivicaine, DEXamethasone, saline, lidocaine, and at time clonidine into separate syringes per the patient weight based order and are labeling and refrigerating them. They have not been labeling with the time the medications are drawn up. They do not have a hood and are using aseptic technique to withdraw into syringes on a clean surface (this is a surgery center).

Hello!

Our Medication Safety team has been tasked with starting a controlled substance diversion program for our healthcare system. I am wondering if anyone has experience implementing a program like this at an organizational level. If you would be willing to share your experience or what applications you utilize within your program, I would appreciate it.

Thank you,
Blake Carley, PharmD
carley.blake@marshfieldclinic.org

Hello!

Can you please respond with:

What is your pediatric peripheral line concentration of KCL?
What is your pediatric central line concentration of KCL?

What is your pediatric rate of infusion standard?

Thank you!
Emily

Polling this group to understand if your organization does or does not require an independent double check upon oxytocin administration in L&D, specifically on induction orders, post-partum orders, both, or neither. If yes, do you require IDC with bag starts, at titration, or both?

I appreciate any information you are able to share!

Chenette

What are your KVO rates in your pump settings? Looking especially for hospitals that use the same pumps for adult and pediatric patients. Though, also interested to know about pediatric only hospitals.

Now that Blincyto is on the NIOSH list:

1. Has any site been successful preparing with a CSTD?
2. If so, what CSTD/process is being used to prepare?

Hello everyone,

We are reviewing our ordering and dispensing process for Kcentra. Hoping to hear what the current practice is at other institutions.

1.Do you round the dose to the nearest vial size according to the nominal vial range (ex: 500 U range) or actual units of factor IX (ex: 569 units)?

Hi All
We still have IV promethazine on formulary (restricted to dispensing in IVPB bags from pharmacy) and our OB team is requesting to use IM promethazine for 'therapeutic rest' in some of our OB triage patients (patients not admitted, don't have IV access). They are citing the article below.

Obstetrical & Gynecological Survey
Therapeutic Rest as an Intervention in Early Labor: A Literature Review
September 2024 , Volume 79 ( 9 ), p 533 – 538