Hello,
We are a multi-site health system that has previously had different smart infusion pump builds. As we bring everyone live on a standard library we are looking to standardize clinical advisories. There are character limit challenges with pump vendors and I am curious how others have solved for this, specifically:

1. Do you abbreviate independent double check? If so, how? IDC? 2 RN check? other?
2. What criteria do you use to determine if there should be a clinical advisory?

We have had a handful of cases recently reported by our Cardiology teams where ACT levels were not becoming elevated as expected after heparin administration. We have seen 5 reported cases in the last 3 months via our reporting system, however, a couple of reports noted that this situation has happened to them multiple times over the last few months.

The product is Meitheal 10,000 units/10mL mulit-dose vials. The lot number primarily involved is AGC611P. There was one report involving the same brand but with the lot #A6C2412P.

Hi All, We have central line insertion kits that contain lidocaine. Sometimes this is used for the line insertion, other times lidocaine is obtained from our ADC. In order to know the patient received lidocaine this has to be documented in the chart as a med order. This would allow for accurate med list, CDS, and compliance with DSCSA. We are able to provide an orderable in the EHR to be selected so the lidocaine can be documented on.

1. Are you documenting lidocaine use for central line insertion?
2. Who is documenting - Nurse or Provider?

Hello everyone,

Our facility continues to get occasional reports of lines being swapped on the pump, despite having appropriate scanning functionality and interoperability in place. While we do require our nurses to trace lines, sometimes this step is overlooked.

Just thought I'd ask around - does anyone have any creative ideas to tackle this issue? We repeatedly educate and send reminders and emphasize scanning, interoperability, and line tracing, but we continue see issues trickle through...

Thanks!
-Saduf

Hi All
My institution is finally starting an Infusion Pump Committee, with the ultimate goal of standardizing infusion pump practices, communication, education and advocating for pump-EHR integration. Members will include RN leadership, biomedical engineering, nursing educators, pharmacy, medication safety and nursing informatics. If you have a similar committee I would greatly appreciate if you shared your committee charter and anything else you think is valuable.

Thanks!
Lindsey

Hello!

Our pediatric institution repeatedly has issues where patient home meds that are stored in the hospital pharmacy are not given at discharge. This has resulted in the need to ship them home (extra cost) and is a patient, caregiver, and staff dissatisfier. We have heard of other organizations using an order in the MAR to provide a reminder for the staff discharging the patient but not sure how accurate this is. If you have something in place where you work, could you share how it is setup (we are with EPIC) or any other type of EPIC build that addresses home meds?

Good morning,

I am interested in learning how other Epic institutions utilize the EHR for patient's with ketogenic diet. Could you please answer the following questions if you use Epic?

Good morning,

Our hospital is in the process of developing an architectural plan for a new patient tower, and we have been incorporated into a Safety Risk Assessment as recommended by the Center for Health Design and TJC. This includes a medication safety risk assessment, with the goal of improving medication safety by identifying medication safety zones and developing design features to mitigate risk. Has anyone else been involved in something similar? We would love any insight or guidance you may have.

hello, has your institution considered or do they practice administering certain medications in the ED waiting room?

IF so, would you be able to share your experience.
Is there a policy that governs this? What are the inclusion criteria?
What medications are ok to administer in the ED waiting room (antipyretics)
What monitoring parameters are in place?

Thank you!

Hello,

Do you allow non-controlled returns to the automated dispensing cabinet (ADC) to occur at the machine, or do the medications need to be returned to the pharmacy for processing?

If the return occurs at the machine, does each unit need to be scanned upon return, or is only one item of a batch required to be scanned, for example if multiple pills, vials, or ampules are returned?

If the return occurs at the machine, is it done by the nurse, pharmacy tech, or pharmacy intern?

Thank you,

Lynda