For hospitals performing deep brain stimulation, do you allow patients to take their own medications after the procedure? What is your rationale for either yes or no? Thank you.

During our last TJC consultant visit they identified our dialysis unit was using a K pad device to warm the fluids with no way to document the temp of the solution. Do any of you have a fluid warming strategy with a digital temp readout???
Thanks!

for those with alaris carefusion guardrails, what KPIs are you monitoring and reporting to med safety committees?

Hoping that others could share samples (or content) of medication labels that nurses would use when preparing immediate use compounded sterile preparations (CSPs)--specifically what you are requiring for beyond use date as defined in CMS language below:

Dear all--

our current policy on med use and safety committee is up for review and was hoping to compare notes with other organizations with regards to the scope of our committee. if anyone is willing to share their policy in this area, i would greatly appreciate it.

my email: hammond.adjei@harrishealth.org

thank you.

Dear all:
Kindly share with us your practice for the following;
Atracurium, Pancuronium, Suxamethonium and Rocuronium are all fridge items that are removed from the fridge every day and placed in all ORs. When the day is over (8-9 hours later) the vials are all put back into the fridge. This is repeated on a daily basis as we don’t have fridges in the ORs. Stability data of all of them state that the stability of the vials on removing from the fridge varies from 1-3 months depending on the specific product and should NOT be placed back in the fridge once removed.

I was the Medication Safety Officer at the largest hospital in our system, and I was the only medication safety officer in our system. We just went through structure changes, and I am now over medication safety at all of our hospitals.
I'm trying to get ideas on how best to tackle communication, process improvement, etc.

I was hoping to get some feedback regarding the structure of medication safety programs at other Health Systems with multiple hospitals. If you have any insight into this, I would greatly appreciate it!

Issue: Pre-spiked IVF on units

Question: What is the accepted practice in your institution? If you do allow pre-spiking of IVF, what expiration dating do you provide. Are there units that are exceptions (OR/Trauma/ED)?

Concerns: Infection control and pharmacy looking at pre-spiked IVF with respect to 2016 APIC position paper and USP 797 guidelines identifying that pre-spiked IVF be given 1 hour expiration (recommendation). This is taken from the position that an IVF bag is similar to a Single dose container.

Hi All,

We are considering "unlinking" our drug allergy alert for sulfa medications from sulfa- derivative diuretics (e.g. Furosemide) to decrease the number of alerts. The alert would then only fire for a patient with a documented sulfa allergy and sulfa antibiotic order. It would NOT fire a patient with a sulfa with a documented sulfa allergy and an order for a sulfa-derivative diuretic.

We have never previously allowed heparin drips or hypertonic saline to be stocked on ADC's but I am being pushed to change that. Does anyone out there allow these on ADC's and if so have you had any safety events as a result of this? Thanks,

Cortney Swiggart
Med Safety Officer