We have a request to place all anticoagulant IV medications in a red bag in order to identify them more easily on the nursing side.

I have logistical concerns and general concerns with this process (relying on a manual process and color coding). Has anyone here used this type of process for anticoagulants? What have you seen work on the nursing side to more easily identify anticoagulants?

Hello,
We are preparing for a Joint Commission visit and working on USP <797> compliance in ORs/procedural areas. We are hoping you would be willing to share information about your sterile product practices in these areas and any recent experience with TJC surveyors on this topic.
- Do you consider preparing sterile products in ORs/procedural areas (Examples: drawing up a dose from a vial, drawing propofol into a syringe, etc.) to be immediate-use compounding or per approved labeling?

How do you safeguard against wrong route med administration errors in the OR for topical meds. Specifically thinking of thrombin, but interested in other topical medications as well if you have strategies in place.

Thank you!

Sloane Hoefer
Nebraska Medicine

What is the policy or clinical practice for the management of patients experiencing rigors/chills as a manifestation of a hypersensitivity reaction to treatment involving anti-CD20 directed treatment (ie. rituximab, obinutuzumab)?

Good Morning All,

Currently our smart pump drug library entry for parenteral nutrition is built with an infusion rate soft max. We have a request to modify the entry to include a hard max. I'm curious if others have built their parenteral nutrition entries with a hard max and what that limit is. Does that hard max differ for central vs. peripheral administration?

Thanks in advance!

Dear Colleagues

I hope this message find you all well , i'm exploring best practice for documenting medication removal and administration in the operating room

our current practice , there is pyxis (non profile) there and they remove the medications by patient and there is no order in the HIS

Im looking to learn how other institutions adress this issue

your input would be invaluable in helping us improve our practice and patient safety outcones

thank you

I am working with an academic based research group that is looking at both alerts and alarms on IV Smart Pumps. We have reviewed data from a large number of pumps to try and quantify both alarms and alerts. Our group, which consists of pharmacists and nurses is now identifying pharmacists that manage smart pump library settings within their institutions to conduct 50 minute interviews. We are looking for a variety of sites and pump types to learn about.

Good morning,

Hello,

I am curious how you handle rectal administration using ENFit syringes.

We are struggling with our diazepam for rectal administration.

Do you use Diastat?

If you don't mind please share your process for safe use.

Thank you!

Protamine administration is recommended in undiluted form, not to exceed 50mg dose over 10 minutes of slow IV push injection.

How does your institution administer protamine doses over 25mg that would need to be given over > 5minutes? Do you utilize a syringe pump or administer it by hand?

We do not stock syringe pumps on units, and they are supplied by materials management when requested. This poses an issue since protamine would be needed urgently and there may not be time to get a syringe pump.