Hi All,
We have restricted IV fluid use in light of the current situation with Baxter. Our surgeons have started using albumin due to this. Is anyone using albumin as a strategy/alternative to IVF and if so, what restrictions/criteria have you put in place for its use in this scenario?

Thanks,
Harriet

Hello everyone,

Hi,
Do any organizations keep Cardioplegia in an CV-OR refrigerator-linked ADC?
Thanks so much!

Good morning,

Do any organizations use multiple insulin sliding scales, for example, daytime vs night-time? If so, how is this implemented through your EMR and have you implemented any strategies to prevent errors with multiple orders?

Thank you so much for your time!

Hello all,

We have a problem with expired medications being found in Pyxis due to the wrong date being entered. We are working on changing some of our workflows and wanted to see if this problem is just at our institution or if others are also experiencing it. And if you are not experiencing, could you share your workflow for your Pyxis outdated and refill process. Thank you for your time.

Hi all,

We are updating our BD Alaris hardware and have noticed in the specs provided that the minimum infusion/flow rate for any syringe size greater than 10 mL is 1 mL/hr (see attached). We use 20 or 30 mL syringes for many of our NICU/PICU infusions with titrations or ordered rate changes that decrease the rate below 1 mL/hr.

Has anyone dealt with this issue? Any solutions other than changing all of these infusions to 10 mL (or less) syringes?

Thanks,
Walton Gibbons

Hot topic given the recent NC Baxter plant news. Besides the ASHP 2014 IV Solution Conservation Strategies, anyone willing to share some best practices or lessons learned?
Reference:
https://www.ashp.org/-/media/assets/drug-shortages/docs/drug-resources-c...,

Are any inpatient facilities providing Brixadi (buprenorphine)? Have you experienced any safety challenges with implementing? Does your facility also offer Sublocade?

Thanks,
Melissa

I work for an organization that has merged in recent years and we have a difference in process between sites in how OB mag boluses are delivered. Half of the sites have always bolused from the continuous infusion bag using the bolus feature on our infusion pumps. The other sites have used 4g/2g mag bags to give the bolus dose and do not allow bolus from bag. I'm curious which method other organizations are currently using and if you are aware of any limitations or events with your current method. For context we are an Epic organization using Alaris pumps.

Hello -

Wondering how other institutions handle orders that are signed and held with the intention of being administered intraop but then subsequently not being released until after procedure when patient reaches the floor?

Prescribers are appropriately utilizing phase of care, however Epic is unable to catch these orders for auto-dc as it cannot distinguish between the intention of these orders being necessary for past procedure vs potential upcoming procedure.