Our organization has received concerns from providers around patients with low math literacy having difficulty properly understanding fractional doses in the medication SIG. The way Epic compiles the SIG uses a numeric fraction and a plural unit (i.e. tablets). This has caused patients to take the incorrect dose of their medication.

Our IT team found on Galaxy the ability to translate the SIGs into patient-friendly doses. The Galaxy article calls out that the settings do not apply to doses that are volume based.

Hi, all,

Curious to learn more about how others are approaching this shortage. It seems our substitution amongst Brands is becoming more limited as the shortage expands.

There are many helpful insights directly from ACOG; however, it is unclear that supply will replenish before additional measures may be needed. Has anyone explored the concept of repackaging the 15,000 units/13 mL Liquid for Injection per USP/Stability information (does supporting information exist)?

Hello,
Wondering if anyone has established/considered a standard QPM time for enoxaparin prophylaxis administration. We have typically gone with daily (0900) but got a request from providers to change to a standard PM frequency to avoid delaying procedures if a dose was given in the AM.
Thanks for your thoughts!
Erin

Just curious if anyone has any creative ideas for differentiating, labeling, or packaging the NaCl 3% vs 7% inhalation pillows? The percentage is not the easiest to identify, for the 3% or 7%. Labeling with the barcode already seems to be challenging due to the shape/size.

Attached is a picture of what we currently do, but just wondering what others are doing to compare and see if something else will work better.

We are looking to compare stewardship best practices for PCAs, if anyone is able or would like to share?

Is the PCA completely reconciled when stopped or removed? (Container amount - Administered amount - Waste amount = Zero)
How do staff measure waste?
How are variances escalated?
What is the frequency of documenting pump history? Is it done with a witness?

A few questions, though certainly not comprehensive. Whatever you can share is appreciated.

Within your Diversion monitoring programs- who is involved in follow up with staff members for events that meet the need for investigation of poor practice versus potential for indications of diversion.

With the approval of several new gene/vector therapies and many more on the horizon, our institution is planning to develop policies and procedures to standardize our approach to storage, preparation, administration, decontamination, and disposal of gene/vector therapies.

Does your institution have standardized policies or procedures in place related to gene/vector therapies that you could share? For institutions utilizing Epic EMR, do you utilize any Epic functionality in the EMR to alert staff that a patient is receiving or has received gene/vector therapy?

We currently use the same concentration but displayed in different ways to accommodate both pediatric and adult dosing units.

Bumetanide 250 mcg/ml in pediatric patients (dosed in mcg/kg/hr) and 0.25 mg/ml in adult patients (dosed in mg/hr).
Amiodarone 1,800 mcg/ml in pediatric patients (dosed in mcg/kg/min) and 1.8 mg/ml (dosed in mg/min).

We are wondering what others are doing. Do you use the same concentration for both peds and adults? If yes, have you had issues with converted from mcg dosing to mg or mg to mcg?

Hi,

We are working on developing processes/policies related to discharge medication calendars. We have criteria at our institution but are attempting to mitigate transcription error risk. Please reply to the below and if you do not complete medication calendars, that information is helpful as well and we would appreciate the quick “No” reply!

Thank you in advance for your responses and much valued time!

Hello!
We are a large pediatric hospital currently preparing for Alaris-Epic interoperability.

Looking for guidance in the following:
1. Recommendations or insight to make our process towards interoperability more successful
2. The biggest struggles you had with aligning Guardrails and Epic ERX records
3. How to increase interoperability compliance to 95%

Any and all advice is truly appreciated!
Thank you!