Do you allow nurses to administer ketamine IV push for indications other than sedation (i.e. status epilepticus)?

Thanks,

Cortney Swiggart pharmD
Med Safety Officer

Hi all,
would anyone be willing to share their diversion policy(s)?
We need to update ours and any help is appreciated. I understand there may be differences between different States however I will take that into consideration.

Thanks,
Rachel

Good morning:

Would anyone be willing to share their facilities' heparin protocols with me. james.fotenopulos@sjmc.org

Thanks

Just wanted to inquire if anyone has addressed in your EHR, appropriateness review (e.g., drug allergy check; drug-drug interaction, etc.) for procedural medications (e.g., local anesthetic for dental procedures; local anesthetic for central line insertion, etc.)?

Thank you for any feedback.

Do any of you have antibiotics on override in your ED for initial doses in sepsis? Preferably pharmacists would review all of these but as you all know the literature shows that delay in administration can lead to harm. I was just curious how others have approached this. Thanks,

I am trying to get a feel for what others are doing for simulation training. Are you utilizing "fake" medications (like pocket nurse), real medications, or expired medications? What safety controls do you have in place to reduce risk of "contamination" (where fake or expired meds make their way into the regular drug supply or clinical unit).

Are you aware of any position statements from organizations on this matter? I know ISMP has posted a few topics to alert us to safety issues.

Where are Medication Aides and/or RNs preparing medications for administration in the clinic setting?

Where are IV lines being prepared in the Infusion Center setting?

Do you have guidelines you can share?
Thanks in advance.

Hi All,

I am looking in to the storage of aromatherapy/essential oils at our hospital. Currently, these items are used by nurses who have specific training, but not treated as an order item. They follow a nursing focused policy and document in the EHR.

1. Does your hospital use aromatherapy or essential oils?
2. Describe how they are stored - e.g. on the unit, in an ADC, on the counter etc.
3. Do you treat these items like drugs, as it relates to storage and ordering? If, so please describe.

Thanks!
Liz

Is anyone using a form they would be willing to share for risk assessmnet of hazardous drugs (non-chemotherapeutic)

Our Pediatric Hematology Oncology Physician has noticed a toxicity pattern with our leukemia patients receiving high dose methotrexate. It seems that the patients have had delayed clearance and more severe myelosuppression than usual. She feels that it could be related to the product we purchase. We currently purchase methotrexate manufactured from Accord/Hospira and Teva. The manufacturers haven't had any recalls to date. I was wondering if anyone in our MSOS group, who purchases methotrexate from these manufacturers, have noticed the same patterns.

Thank you for your help.