Does anyone have a policy or process that defines drug dosing in overweight children. I have multiple references that discuss multiple different medications but was curious if anyone has a defined policy or process already in place.

Thanks,

Randi

Does your institution recommend protecting furosemide infusions from ambient light?

Randi

Greetings,

Looking for what other facilities are using when a patient is ordered an opioid and a benzodiazepine as the safest amount of time to wait when giving one before administering the other.

I have heard a few facilities are using a 1 hour rule of thumb but could not find any literature to support any safe time frame.

Thanks,
Carol Welch, Pharm.D., M.S., CPHQ
Medication Safety Officer
Sparrow Healthcare System
Lansing, MI

Hello,
Would anyone be willing to share their hazardous medication list?
What are your requirements for PPE For oral hazardous med administration by nurses?

Thanks,
Rachel

Hello,
Would anyone be willing to share their hazardous medication list?
What are your requirements for PPE For oral hazardous med administration by nurses?

Thanks,
Rachel

Good morning,

We are exploring creating a peer review model (for pharmacists and technicians) to review medication errors that occur in the pharmacy. The intent is to ensure that we maintain a just culture approach and avoid the perception of punitive response to slips/lapses and identify system-based issues that may lead to error. While maintaining accountability for unsafe workarounds, breaches of policy/safeguards, etc.

Is anyone using or had experience with a pharmacy peer review process?

Good morning,

We are exploring creating a peer review model (for pharmacists and technicians) to review medication errors that occur in the pharmacy. The intent is to ensure that we maintain a just culture approach and avoid the perception of punitive response to slips/lapses and identify system-based issues that may lead to error. While maintaining accountability for unsafe workarounds, breaches of policy/safeguards, etc.

Is anyone using or had experience with a pharmacy peer review process?

Could anyone share error prevention strategies they have used around addition of trace element components to neo TPNs?

Despite scan on prep and other redundancies, recent mixup due to a workaround.

Any help appreciated -

I have a question regarding Clinimix TPN solutions. Are there any facilities that are still adding electrolytes to the Clinimix bags? There has been discussion amongst our pharmacists at my facility that adding electrolytes would interfere with the pH of the resulting TPN. Then most recently, ER requested KCL 10mEq with Na Phos 15mmol mixed together in an IVPB. There was some question as to the pH of this mixture. Does anyone have a protocol as to adding electrolytes to TPN or even IVPB in general?

Thank you,
Michelle Voss
King's Daughters Health
Madison, IN

Hi,

When using the smart pump drug library at your institution, When you (pharmacist or designee) enters soft/hard mins and max, and/or when you make edits or updates such as adding new medications, who actually verifies the information in the physical pump?

a) pharmacist entering the soft/hard min & max?

b) nurse manager or nurse representative

c) both (pharmacist and nurse)- together or individually?

Thanks!

Ivy