How does your institution manage problems with therapeutic duplication of pain meds etc.?

Does you hospital have a policy which list medications ( particularly high risk meds) which should never be given peripherally? If not is this information inside another policy or guideline which is accessible to nursing?

Thanks.
dpatrick

Has anyone taken steps to increase medication safety with dabigatran, rivaroxaban and apixaban? If so, what was done? Has anyone resticted usage to order sets only? If so, were any barriers discovered. Have other methods beeen attempted?

Thanks, Vic
Victor DeLapp, PharmD, BCPS
Medication Safety Specialist

For those organizations using pharmacists for discharge medication reconciliation and/or counseling, can you answer the below questions? We are trying to expand our program.

1. Are pharmacists involved in all discharges?
2. If not all discharges, what criteria are you using? High alert meds? diagnosis with high readmission rates?
3. what metrics are you tracking?

thanks
Sean

Does anyone have a standard that limits haloperidol administration to IM route only?
Do you allow IV route under certain conditions?
Thank you!
Susan

This may seem like a silly post for pharmacy....

Does anyone have any instructions on directing nurses on how to administer Infusions? How are they directed to administer primary versus secondary infusions.

The issue is coming up with use of Alaris pumps and guardrails to prevent alarming...then with timing of chemo/investigational meds. In order to time the infusion properly, how do you get the drug through the line when administered as a secondary...keeping in mind that the line has to be cleared of the saline or dextrose. How is the pump programmed?

Hello,

I am wondering if anyone uses a web based or other type of software to manage unit inspection documentation. Please share what advantages and/or disadvantages of the product. Thank you! ---Jeff

Does anyone have a process for providing patients/families with a medication administration schedule while they are inpatients?

Randi

Can anyone share how they store meds for a patient who is on a large number of medications? Are all the medications in one tray or do you have enough real estate in your Pyxis machine to put each med for each patient in a drawer and profile it?

For those hospitals that care for pediatric patients, does your pharmacy provide a hydromorphone injection dilution for intermittent dose administration? If so, what concentration and stability?

We currently stock fentanyl 4 mcg/mL dilution and morphine 1 mg/mL dilution in our Pyxis for pediatrics, but for patients on very low doses of hydromorphone, nurses often need to dilute the hydromorphone 2 mg/mL product themselves to be able to administer the dose.

Your feedback is much appreciated!