Greetings,

Has anyone used unit dose packaging with Honeywell Aclar film for drugs dispensed in the original container? Specifically, my site is wondering if the film could help extend the lead time by which we package these medications. Typically we prepare them the night before they're due.

Is anyone doing medication bedside barcoding without requiring pharmacist order verification first? Which EMR are you using? What issues have you run into? Any lessons learned? Thank you

Hello, I am curious to see how DNV facilities have approached time-critical medications and system reliability with Cerner. We are in the process to harmonize a system-wide list of medications, but I am curious how your facility operationalized and audit compliance utilizing the Cerner platform. I have seen on prior MSOS posts a few years back some responses but given DNV has expanded their market share the last few years more people might have been exposed to this similar challenge. What were your wins? Any recommendations?

Make it a great day,

Do any sites use tenecteplase for stroke and PE and have both agents on override? If so what safety strategies have you found useful to prevent dose error mix ups?

Hoping to learn what other institutions are doing to mitigate insulin adsorption concerns, specifically as it applies to dispensing and administration. I.e. specific priming volume, flushing, dwell time, etc. Do you have the same process for all patients or do you have unit/population specific practices (adult vs peds vs NICU)? Thanks!

We have been having increased reports from our cardiothoracic team with concerns about the potency of heparin we are using. I know this has come up before, but I am wondering if anyone else has been experiencing this or have done any potency testing? The manufacturers we have been getting concerns about are Hospira and Fresenius Kabi, 10,000 units/10L vials. Thanks

Hi All,

Our organization recently transitioned from Alaris to using CADD pumps for our PCA and PCEA infusions. The downside that we have been trying to work through is the lack of wireless connectivity in order to utilized pump interoperability. I was wondering if any of your organizations use CADD and are willing to provide insight on the wireless capabilities. We have not had the best of luck with the device company to troubleshoot this gap in safety.

Thank you,
Erica

I am reaching out to inquire if anyone has had hypoglycemia events (ie, <70) with long acting insulins (Semglee) vs. other insulins?

If you have, have you been able to identify the root cause(s) of the hypoglycemia with this med? What have you done to reduce the incidence? Hypoglycemia is multifactorial, but seem to see more with long acting insulins vs. any others.

Your feedback is appreciated!!

Hi,

We recently started tracking our scanning compliance for our pharmacy carousel. This is a metric recommended on the current ASHP Medication Safety Dashboard toolkit and they provide a benchmark of 95%.

Does anyone have a medication management policy/procedure for addressing patient's clinical needs (i.e. can't meet need by med administration before or after program hours) in recurring encounters/visits in behavioral health/intensive outpatient programs for children and adolescents? Do you permit use of patient's own medications (POM)? If yes, how do you have the approved POM medication order carry across the multiple encounters? I'm in an Epic organization. Thank you in advance.