Hello.

Our organization recently moved our common use short acting insulin from locked drawers to our ADC to improve security.
For those of you who use common use insulin vials at your institution.
1. How do you mitigate the risk of RNs pulling up more insulin than needed & wasting the overage once they have checked the pt's BG at bedside?
2. Do you have a different process for providing insulin to pts in isolation?

Thank you in advance.

Vee

Hello!

Our hospital system is working on making the switch over to weight-based pressors in the next few months. We are reaching out to see if any of you have gone through a similar switch. Would love to hear what the operations looked like on the day of go live, and any lessons learned to make our conversion go smoothly.

Thank you,

Kirsten DiPiro, PharmD, BCPS
Medication Safety Officer
Wellstar Health System
kirsten.dipiro@wellstar.org
C:(770)714-9314

Hello all,

We are a recently established Diversion Prevention Program and are seeking a template or playbook on how to properly conduct a diversion investigation. If anyone has any guidance or documents that you would be willing to share on this topic, it would be greatly appreciated.

Thank you in advance for your assistance.

Best regards,
Amy

Hi,

I need insights/guidance on how to structure a REMS program to meet both pharmacy and provider regulatory requirements at a large hospital.

Few questions I have:

1. Do you have a REMS committee at your institution? If so, how many stakeholders do you have from the provider side? Do you have a point person for each REMS?
2. How are you keeping track of and documenting provider enrollment, provider education and patient counseling?

3.How did you incorporate EHR? Did you build BPA or LQL?

Hi all,
Checking in if anyone has seen precipitates in recent pentobarbital use? We had a visible crystal precipitate when pentobarbital was being administered with a runner fluid (the rate was so low). The runner fluid rate was increased, and it happened again. Thanks!

Hi all,
Checking in if anyone has seen precipitates in recent pentobarbital use? We had a visible crystal precipitate when pentobarbital was being administered with a runner fluid (the rate was so low). The runner fluid rate was increased, and it happened again. Thanks!

hello!

At your institutions, if a patient is NPO are all short acting insulin orders discontinued or are they left on the MAR with either a communication order or verbiage in the ERX guiding RNs what to do?

Currently at our institution, insulin orders are left on the MAR but in the admin instructions is the verbiage "nurse to adjust % of insulin as follows: 100% meal eaten or to be eaten give 100% dose, 50% meal eaten or to be eaten given 50% meal dose, 0% meal eaten or NPO give no meal insulin (may use sliding scale insulin)".

Thank you in advance!

Hello,

We had a request from palliative care to compound morphine gel. We wanted to see how other hospitals operationalize it. Would love to see some suggestions on the following:
- How to dispense it? Some use small jars, others use blister packs?
- What directions are provided to nurses as to how much to apply to the wound?
- How to discard any extra amount that is left? Does anyone use CsRx to dispose of the unused amount?
Any help is appreciated.
Thank you
Viktoriya

Does anyone use Bar code Scanning and have a difficult time with Breo-Ellipta? It is consistently on our list of problem meds for scanning consistency ( reposting for contuinued issues)

We are re-evaluating our chemotherapy and non-chemotherapy extravasation policies to look for optimizations in the process and antidote management.

Would any institutions be willing to share their policies here?

Thank you in advance!