For those on Epic utilizing the insulin infusion calculator functionality, would you be willing to share your build? Our workgroup is currently discussing how to "reset" the calculator when a patient returns to the floor from a procedural space as it gets tricky with the look back function for 3-factor insulin titration. Thanks in advance!

ASHP Standardize for Safety and the Vermont Oxford Network recommend fentanyl 10 mcg/mL and 50 mcg/mL. Have any other institutions changed to this? We are struggling to see how to make that work without causing fluid overload. Especially in our NICU patients who require parenteral nutrition.

Have any other institutions made the switch to just having fentanyl 10 mcg/mL and 50 mcg/mL infusions?

What parameters do organizations have around expected time between narcotic administration and narcotic waste documentation? Thanks!

How many different Bupropion formulations do you carry? How do you prevent mix-ups? We currently carry the immediate release, sustained-release, and extended-release products.

A group within my organization that is focused on patient experience wants to review IV alarm data in order to see if they can prevent alarms the patients are hearing at the bedside. We met with the group this morning and discussed our initial thoughts, but we are wondering if any other organizations have a strategy around such data? We use Alaris.
Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

A group within my organization that is focused on patient experience wants to review IV alarm data in order to see if they can prevent alarms the patients are hearing at the bedside. We met with the group this morning and discussed our initial thoughts, but we are wondering if any other organizations have a strategy around such data? We use Alaris.
Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

Hello, at your institution, do you have different infusion times for gentamicin based on age? (eg peds/nicu vs adults)?

Good morning,

Have any institutions implemented any successful strategies or initiatives to reduce pump programming errors while pending interoperability? If yes, what types of initiatives? Additionally, if you can take another minute to answer the questions below, we would be very grateful!

Does your hospital have pump interoperability?
What brand syringe pumps do you use?
What brand large infusion pumps do you use?

Thank you so much for your time and contribution!

Good day all !

We are looking at our INR > 5 scores and they are meh.

One of the ways we monitor warfarin patients is through daily INR while inpatient.
There is some conversation to move that daily to weekly.
Can you tell me what your policy or procedure is for warfarin monitoring ?
Do you do daily INR checks while inpatient ?

thanks !
Laura

Greetings -

At my institution, we are currently experiencing an elevated rate of overrides from our PACU units. My PACU team informs me that overrides are unavoidable as they titrate IV analgesics based on patient response. For those overseeing this type of data, I seek your guidance. Should PACU areas be excluded from override data analysis? How can we manage the removal of narcotic analgesics when dosage requirements are variable and difficult to predict?

Thank you for your insights and recommendations.