Does anyone have a Pediatric High Risk Med policy that can share?

How do your institutions handle peritoneal dialysis patients who need a partial dialysate bag instilled? We recently had a patient who required 1200 mL per exchange but we only carry the 2000 mL bags (we do try to get changed to the full bag size whenever possible). Pharmacy has been draining off the extra in our compounding suite prior to sending up the bag. This doesn't come up often but can cause some confusion when it does. Thank you!

Does anyone use Epic, utilize an insulin calculator, and have a multi-dose insulin model workflow. Just started using MDV....for nurses to access the calculator they must scan the vial first. Though, with MDV the vials must stay at the ADC, anyone found a better workflow?

Our organization currently supplies a cangrelor "kit" in the cath Lab ADC for CL RN to prep prior to use.

We are looking to decommission many of our kits, where appropriate and would like to know if other institutions:
1) have cangrelor on formulary
2) supply in ADC in CL for RN to mix?
3) mix by pharmacy, send to floor

Thank for your help!

Would anyone be willing to share how you facilitate appropriate transition to SUBQ insulin from IV insulin once DKA/HHS has resolved?

Do you incorporate your SUBQ transition orders (e.g. basal/bolus) into your DKA protocol/order set, or do you obtain the SUBQ orders once DKA has resolved (e.g. via individual MD orders or use of a separate transition order set)?

Good afternoon. I am considering adding pyxis override trends to our monthly medication safety workgroup meetings at my institution. Overall, we have pretty low rates, so I am struggling to see the utility of tracking this. Anyone a big advocate for this? If so, can you tell me why? Thank you for the help!

Morgan Greutman

I was looking into updating the meds to hold for CT myleogram. It appears that the recommendations are no longer to hold seizure-threshold lowering medications? Just checking to see if this the case?

How does one locate handouts, attachments or recordings from member briefing from earlier than July 2023. I was specifically looking for content from the briefing from May 2023.

Thanks
Rhonda

Would anyone be willing to share a template or example of a flyer or newsletter that you send out to staff updating them on recent events to learn from, safety initiatives, reminders, good catch awards, etc.?

Does your institution utilize extended duration infusion of cyanokit (hydroxocobalamin) for vasoplegic syndrome?

How is the medication infused (via smart infusion pump, gravity, other)?

If manufacturer provided tubing is not used, is a filter attached at any point in medication preparation or administration? If so, what size filter is used?

Thank you in advance!

Valerie Tork, RN, BSN, CCRN
Patient Safety Coordinator RN
University of Colorado Hospital