Good morning,

Could you share the epinephrine concentrations you compound for drips at your institution? If more than one, how do you guide providers on which to select?

Thank you!

Helen Lee
Medication Safety Officer
Nicklaus Children's Hospital

Have any institutions experienced ruptured feeding tubes when utilizing ENFit syringes and enteral connectors, especially if the tube becomes clogged?

We are internally debating the usefulness of High Alert Warnings on our anesthesia workstations. Currently, our sites are not consistent if they do or not. The debate is are they useful vs. causing alert fatigue. I'm leaning towards the alert fatigue side with the exception of Neuromuscular Blockers. Curious on what others are doing.

Good Morning All,

Just wanted to get a pulse check to see what everyone is doing with the products that have been granted extended expiration dating.

What process do you use for addition of antibiotics and/or heparin to peritoneal dialysis fluids?
What BUD do you assign to PD fluids with additives?
Do you require the PD bag to be warmed prior to addition of medications?

We require nursing to bring a warmed PD bag to pharmacy for the addition of medication, and consider the prepared bag to be for immediate use.

Hi,
Does anybody have an electronic ordering process that screens CHG wipes against a patient's documented allergies? Do you have screening for other topical CHG products (washes, swabs, dressings, etc.)? If so, I would love to connect and learn more.

We had several instances where RNs tried to connect the fluid to Abx they were trying to mix and it felt like the adaptor was plugged and it did not mix. It appears it was more than just a single Lot of these devices. Is anyone else seeing these issues on the administration end w/Vial2Bag?

Hi - my institution has been tubing baby starter TPNs, but I am not able to find any data supporting this practice. We do not tube adult TPNs. Our starter TPNs have dextrose, amino acids, calcium (or heparin). Wondering if other institutions tube or hand deliver baby starter TPNs?

Regarding labels for medication -
Per TJC, in perioperative and other procedural settings (on and off the sterile field), the date and time are not necessary for short procedures.
How does your hospital define short vs long procedures? I appreciate any feedback or SOP you can share.

Has anyone had success in developing clinical decision support/alerts in Epic to mitigate the risk of respiratory depression, secondary to opioid stacking?