Hello,

I am wondering if anyone uses a web based or other type of software to manage unit inspection documentation. Please share what advantages and/or disadvantages of the product. Thank you! ---Jeff

Does anyone have a process for providing patients/families with a medication administration schedule while they are inpatients?

Randi

Can anyone share how they store meds for a patient who is on a large number of medications? Are all the medications in one tray or do you have enough real estate in your Pyxis machine to put each med for each patient in a drawer and profile it?

For those hospitals that care for pediatric patients, does your pharmacy provide a hydromorphone injection dilution for intermittent dose administration? If so, what concentration and stability?

We currently stock fentanyl 4 mcg/mL dilution and morphine 1 mg/mL dilution in our Pyxis for pediatrics, but for patients on very low doses of hydromorphone, nurses often need to dilute the hydromorphone 2 mg/mL product themselves to be able to administer the dose.

Your feedback is much appreciated!

Dear all
We are in the process of putting together a quality and safety journal club (not medication safety specific) We are doing this outside of the formal hospital structure as a space for good ideas to come to light and to cross boundaries.
Has anyone any experience of doing this, and do you have a charter or terms of reference?

Oisín Ó hAlmhain
Chief II Pharmacist (Clinical Pharmacy, IT & Medication Safety)
Midland Regional Hospital
Tullamore
Ireland

Does anyone have experience with Baxter Sigma infusion pumps and writing of the master drug library? In particular I'm curious regarding the settings involved in upstream occlusion alarms. Do you allow the nurse to inactivate these alarms? I'd be appreciative of any feedback you may be able to provide or discuss with me! Thanks.

I am new to this forum, so please forgive me if this topic has already been discussed.

Our Health System is in the process of standardizing and updating our crash carts and we have run into some issues regarding the epinephrine product in the cart. We previously had the 30 mL 1:1000 formulation but due to the safety concerns from the ISMP the pharmacy team has been pushing to remove it from carts. However, what we have found is that there are 1:1000 1 mL ampules but they are labeled for IM/SC use and there is concern about using them for IV use.

Can anyone share how they handle smart pump utilization with multiple chemotherapy drugs mixed in one bag. For example a patient receiving dose adjusted EPOCH. For this regimen the pharmacy prepares a 500 cc to a liter bag of normal saline with doxorubicin, vincristine and etoposide mixed together to infuse over 24 hrs for 4 days. Our nurses are requesting a "generic" multi-drug chemotherapy guardrale for the smart pump. The idea of a "generic" chemotherapy guardrale makes me uncomfortable.

Please advise how your organizations handle this issue.

Do you have a medication administration document, policy/SOP that dictates where medications may be administered ? In other words, designates if a med can be administered in ICU only, or in all levels of care, etc? I would appreciate seeing examples... thanks, Rebecca

Is there anyone at a site that has, or is in the process of, integrating their Cerner EHR with Hospira pumps? We are looking at pump integration and my team is getting conflicting information from Cerner and Hospira as to whether or not integration is currently even possible.

There is not an example of this combined integration within my network, so I am ask a broader group.