As you know, FDA-approved labeling for fat emulsion was modified last year to include a requirement for filtering infusions with a 1.2 micron filter. I'm not sure whether lipid rescue was considered though. Has anyone given that some thought or actually considered and decided one way or another? When fat emulsion is needed in an emergency such as accidental intravenously administered bupivacaine, would you require a filter as per the label?

Thanks,

Mike Cohen

How do you administer albuterol for continuous nebulization to ventilated patients? It requires administration of the product into a nebulizer via a syringe pump. Was wondering if you were using the IV pump you currently use for this product?

The syringe is a 60 mL syringe recognized by the pump however the syringe end cannot connect with IV tubing. The tubing that does come with the syringe at it’s other end can only connect with the nebulizer and not an IV line.

Is anyone willing to share their policy for use of U-500 insulin that you may have?

Hello,
Interested to know if any institutions are using pumps other than alaris. If so what pump are you using?

thanks,
Rachel

Hello,

At your facility, what percent of medication preparation for the OR setting is being done in the pharmacy vs. the OR vs. 503b outsourced?

What types of medications are prepared within the OR suite?

What have you done to minimize medication preparation in the OR?

Thanks in advance for your responses!

Bridget Gegorski, Pharm.D.

Medication Safety Officer

University Hospitals Office: 216-983-1307

11100 Euclid Ave Fax: 216-844-3052

Cleveland, Ohio 44106 Mail Stop: WRN 5006

Has anyone found a solution that works for managing duplicate orders on an inpatient basis? We are struggling with orders for pain in particular. We have implemented PRN mild, moderate, and severe indications but continue to see duplicates. Any help you can offer would be appreciated. Thank you.

Cortney Swiggart, PharmD
Medication Safety Officer
Methodist LeBonheur Healthcare
Memphis, TN

I am currently working in a medication safety role at my hospital. I am wondering if some of you would be willing to share how many hours your hospital dedicates to medication safety and then the size hospital that you work with?

Also do you mainly have a pharmacist that takes the lead on medication events and error prevention or his there some nursing roles related to medication safety as well?

Hello,

We have started discussing the ASHP standard IV concentration project at our hospital system. We were wondering who else was planning on migrating their current IV concentrations to match ASHP's recommendations when the final recommendation is published? What type of timeline do you plan on following? Do you foresee any barriers to switching?

Thanks!

We have about 1-2 events per month where the nurse hangs an antibiotic piggyback and forgets to unclamp the tubing. Is anyone reminding the nurses in some way to "unclamp"? Using a catchy phrase as a reminder?

Thank you,
Ann Jankiewicz, PharmD, BCPS, FASHP
Medication Safety Officer
Rush University Medical Center
Chicago, IL 60612

Hello,

I am trying to gain some insight from other Medication Safety Officers regarding how they interact with the IRB and investigational drug services.

Typically errors that occur in this space are documented as study variances and are addressed by the IRB. Do any of your sites also ask that these errors be reported internally to the hospital's voluntary error reporting system for further review?

Thank you in advance for your responses!

Sincerely,