Hello All,
Our ER department has recently began the practice of initiating Versed drips while in their department. On the nursing units, Versed drips are administered with secure pumps. But the ER states that other institutions do not place scheduled IV infusions on a secure pump. Just wanted to pose the question to the group to see what is transpiring in our facilities. Thanks in advance for your help.

Cicely Williams, PharmD.
Tallahassee Memorial HealthCare
Tallahassee, FL

Hello,

We recently transitioned to dispensing multiple IVIG vials for infusions instead of pooling multiple vials into a bag due to waste and cost concerns.

Nursing is reporting an increase in incomplete doses due to forgetting to hang the remaining vials.

We use EPIC as our EMR, are there any systems that have come up with a solution to this problem?

In a perfect world, nursing would like to receive a prompt/worklist task to scan the next vial so they don't get missed?

Thank you in advance!
Lauren

Have any institutions been asked to load concentrated ketamine (100 mg/ml) in the ED ADM? We currently have the 10 mg/ml strength loaded, but the concentrated ketamine is sent from the Pharmacy patient-specific.

We're working find the right balance with safety & accountability and re-training or remediation & I'd like some help for anyone who wishes to share their process. Happy to link directly with you as well.

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.