Hello,

We are trying to implement patient specific lantus/levemir at our peds hospital and peds units. The adult hospitals have already implemented this best practice. We are experiencing a barrier in our endocrinologists and nurses.

They prefer to get the full vial for teaching purposes at the bedside. Has anyone else experienced a similar situation? How were you able to convince the providers to make the switch?

Thanks!

Hello,

We are building an orderset for insulin R U500. We have followed ISMP guidance and will be dispensing these doses patient specific in a TB syringe. However, we cannot find guidance regarding naming of the product in EMRs.

Can anyone share what they have used as the name in their EMR?

We are considering "Insulin R 500 units/mL" or "Insulin R (U500) 500 units/mL" or "Insulin R (concentrate) 500units/mL".

Any and all insight is most welcome! Thanks!

Hello,

We have a new doc ( neuro-opthalmologist) who wants to start using this but we can't find any "recipes with references".
Does anyone have one they're willing to share?

Is anyone compounding this from cocaine power or flakes?? If so are you treating this as "high risk" therefore needing end product testing?

Thanks.
DiAnthia

Hello,

Our OR team would like to start using clevidipine instead of nitroprusside. Since clevidipine has a milky appearance like propofol, there is a safety concern. Any of you use clevidipine in the OR setting? Any safety mechanisms you have in place? Any information you can provide me would be greatly appreciated!

Thanks,
Haesuk Heagney
Mayo Clinic Florida

We have been waiting for over 1 year to implement a new system of central monitoring. All of the tags/sensors and probes have been in place for the last year, but we were waiting to swap out many of our med refrig bc the old ones went out of range all the time. We have over 150 med refrigerators. For those who use a central monitoring system:

Our practice has been to date all bulk bottles ( liquids) with date opened but are considering discontinuing this practice. In speaking with several manuf, product is good until expiration listed unless otherwise specified.I have not found any regulations mandating this practice. Since some bottles are low use ( and expensive $500) we do not want to discard after a year which seems to be what we have done in the past. Any thoughts?

http://www.imt.ie/news/latest-news/2015/10/hospitals-needed-more-medicat...

Hi all -

Does anyone have a policy, guidelines, etc of your expectations of what will constitute med rec in your different ambulatory settings? I'm thinking of those alternate kind of locations, like wound centers, outpatient infusion, imaging centers, etc. Any insight is greatly appreciated!

Elizabeth Rebo

We currently restrict fentanyl drips and fentanyl IV push to critical care areas only, however PCAs are allowed on med/surg as long as Anesthesia is managing. We are re-evaluating all of this.

Is anyone using fentanyl routinely in the med/surg population? Any lessons learned to share?

Thank you,

Erica Fredette
South Shore Hospital
Weymouth, MA

We recently had to suspend the use of J-tips filled with buffered lidocaine due to a significant number of malfunction reports. Reports ranged from the J-tip syringe cracking to what was described as "exploding" when activated. After looking into potential sources of the problem including user training, drug stability, expiration dating, and compounding pharmacies we were unable to pinpoint the problem.