Hello all, I am interested in learning more about the status of essential oils in your organizations. Would you please consider responding to the following questions: 1. Has essential oil therapy been considered for use within the organization? 2. Has your Pharmacy & Therapeutics Committee reviewed essential oil therapy? If so, what decision was made? 3. If essential oil therapy is permitted, what processes do you have in place for pharmacy (eg, purchasing, storage)? Any additional information regarding the use or non-use of essential oils in your organization would be greatly helpful.

Hi All,

Does your organization allow sharing of MDI inhalers when patients are using there own spacers? We have recently recieved this request from our ambulatory sites and pulmonary function lab. I was unable to find literature supporting or against this practice.

Sean O'Neill

The Children's Hospital of Philadelphia

Where  does your Rapid Repsonse Team get the RSI kits -- from critical care  cabinets?  If on the floor, what safeguards do you have to avoid inadvertent access by floor nurse?

Do you have a standard or policy for documenting med errors in the medical record? Do you document in Progress Notes? or the MAR?

Hello,

Our institution is evaluating the ISMP Targeted Best Practice of dispensing vincristine in a mini-bag to avoid intrathecal administration. Nursing is finding the change hard to accept. Are there any institutions out there that have made this change and how did you go about the change?

I am curious how your organization names babies after birth in the EHR. We use: MomsLastName, NBMomsFirstName. This makes it very similar to the mother's name. I am thinking something like BabyMale1 for the first name would be better. Thank you!

For those of you using insuling pens, I am curious how they are stored once dispensed from pharmacy. We are full Pyxis dispense but bulk items (creams/inhalers/insulin pens) are stored in med room based medication carts. I am curious if anyone has another storage option that has worked well to help prevent wrong patient errors with bulk medications. For example, storing in a locked bin/cabinet in the patient room.

We are reviewing our current workflow surrounding OB epidurals and would like insight regarding workflows used in other hopsitals.  If you have time to answer the following questions - I would greatly appreciate it! 

Do you have MDAs, MDA residents, or CRNAs placing OB epidurals?

Do your MDAs/CRNAs enter/place their own OB epidural orders in the EMR or is this done by the bedside nurse?

 Are these orders placed before or after the epidural is in place (looking at this question from a majority of the time)?

Wondering if others could share policies/guidelines for storage/use of Baxter 25 and 50 mL minibags provided in multi-packs on patient care units. Once the overwrap is opened, do you have process for dating or using the bags within 24 hours?