We had a recent event in which a patient needed Narcan but didn't have an active order for it although they had opioid pain medications ordered. What we found is that the opioids were ordered off of a providers preference list and not through an order set. When opioids are ordered through an order set then there is logic in place to automatically order narcan PRN if there is not already an active order for it. We are an Epic facility. Just wondering what strategies systems have employed to ensure patients with opioids ordered have an active narcan order to help prevent delay in care.

In light of the shortages with Plasma-lyte, are any hospitals using Isolyte to compound Del Nido cardioplegia solutions? What stability dating are you using? Please share your compounding references.

Hi!

For sites compounding several variations of cardioplegia, any safety strategies within the label to differentiate between the solutions? We use several recipes across the enterprise and are looking for a practices outside of manually placing stickers.

Hello all,

Looking to see if any sites are utilizing epidural steroids for specific CT-guided proceedures. The package insert for many of the steroid injections advise against epidural injection due to neurotoxicity risks / death.

The specific proceedure in question is CT-guided lumbar transforaminal epidural steroid injection, with use of Depo-Medrol.

If you do these types of procedures, what type of safety mechanisms are in place?

Has anyone experienced port tubing breaking with continuousblinatumomab infusions?

Hi-
Has anyone implemented some sort of standardized workflow and/or orderable for hold parameters on antihypertensives? We see providers put them in about 30% of the time, but they are often reacting to an event that's already occurred.

Thanks,
Sara

Does anyone use bags of sodium citrate for line lock? If so, what dose do you give and do you dilute it?

Hello everyone,

Does anyone uses a form to conduct a follow up after a medication error?

Thank you,

Is anyone using CVVH fluids to prime CVVH lines due to the current fluid shortage? We typically use Fresenius Next Stage CVVH solution, which recommends saline for priming, but some providers are now requesting to use CVVH fluids instead. Are there any safety concerns with this practice, or has anyone else implemented this approach?

Thanks,
Harriet

Historically we have always given IV methocarbamol via IVPB rather than IV push. With the fluid shortages, one of the pharmacists inquired if we should consider IV push. The recommended rate from the PI is 300mg/min. Does anyone have good experience with giving methocarbamol IV push?