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?

Can you describe the mechanism in which your organization assesses the quality of medication reconciliation? We are able to capture the completion of med rec in our EHR but this is only serving as a quanitative measure and we still have see vulnerabilities in the process.

Thanks

Sean O'Neill

The Children's Hospital of Philadelphia

Good day all,
Does anyone still use Carnoy's solution? If yes, do you have a specific policy with regards to safe handling of this product that you would be willing to share?
We have one physician who still uses it and our Occ Health is requesting a specific handling policy for this solution be put in place.
Thanks in advance!

I am curious if anyone has a form or guide to help students or residents with event investigation. Some sort of tool that will help them with all aspects to research and be thorough in investigation. Thanks! ---Jeff