MSOS Discussion Board

CSTD - Closed system transfer devices: leaks?

Brenda Asplund's picture

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Does anyone have experience with Carefusion Texium and Smart-site chemotherapy CSTD use? We are having issues with IV push of vesicants leaking at connection, and with trying to close the system for CADD pumps used at home. Would love some advice on potential causes or how to use the system more effectively, or a better system (with use experience!)
Thanks
Brenda

depo-subQprovera

Damon Pabst's picture

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Have you experienced any of the following problems with depo-subQprovera?

1. The product clogging the needle
2. The needle disconnecting from the syringe when administering
3. Complaints of bruising and nodule formation at the injection site

If you have observed these problems what actions did you take to mitigate these issues?

Thank you for your help.

Damon Pabst
Medication Safety Coordinator
Children's Mercy Hospital

Feraheme

Haesuk Heagney's picture

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Has anybody had incidents of staining around infusion site with Feraheme? Does anybody have any particular guidelines on Feraheme administration?

Thanks for your help in advance.

Haesuk Heagney

Heparin safety with Impella VAD

Julie Kindsfater's picture

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Has anyone dealt with the Impella VAD and heparin safety issues? My cards coordinator says it requires a heparin drip autotitrayedby the VAD controller to maintain a certain pressure, and that a separate heparin infusion is run via smart pump to achieve systemic anticoag.

Any experience/insight appreciated -

Mifepristone

mark heelon's picture

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We are interested in adding Mifepristone to our formulary. We are concerned if this medication is accidently administered to the incorrect patient. We would be appreciative if you could share safe practices you put in place if this medication is on your formulary.

Thank you,

Mark Heelon
Medication Safety Coordinator
Baystate Health

Smart pump workflow variations

Joanne Peterson-Falcone's picture

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Requesting suggestions for forcing function for Alaris pumps to prevent following scenarios:

First Situation: Secondary infusion running but during the course of infusion fluid bolus was ordered. User programs pump for bolus from primary bag but does not clamp or disconnect the secondary bag.

Second Situation: Secondary infusion is connected to port just below the pump module with a primary at varied rates including bolus infusion.

Other: user forgets to unclamp secondary, secondary is not connected to port, secondary hung but not programmed and runs at primary rate

Pregnancy Alert in EMR

Diane Schultz's picture

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Currently this alert in our system is set at 65 years of age so anytime a Category X medication is prescribed an alert fires. Short of turning the alert off completely and assuming that the Pregnancy Status is consistently updated in the EMR, what is your organization doing to ensure these alerts fire more appropriately? Did you set an age range? Other ideas? Thank you!

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