We are working to update our restraint policies to clearly define the role for medication restraints and the appropriate documentation and patient monitoring required. Hoping others could share their policies and provide some feedback on what EHR-based strategies (e.g., order panels, "quick lists", etc.) do you employ to ensure that medication orders are clearly ordered as a restraint an require documentation.

Hi everyone,

Our facility is getting reports of faulty Insulin Glargine-YFGN Pens. Is this something anyone else has seen or gotten a response from reporting?

Good morning,
We are in the process of revamping our list of clinical advisories for our smart pump library (Alaris) and I was wondering if anyone has a list for their facility that they are willing to share? Our previous list was very long and redundant so we are trying to minimize alerts and focus on the important reminders needed at the point of IV administration.
Thank you,
Jordan Anderson
Driscoll Children's Hospital

Good morning,

Is anyone aware of or have established institutional standards for larger volume subcutaneous injection speed/rates?

I'm particularly interested in speed/rates for oncologic agents. For example, a newer agent like Rituxan Hycela has specific administration recommendations in the prescribing information (E.g., administer over 5-7 minute depending on the dose). Whereas older agents like azacitidine and bortezomib have no recommendations in the prescribing information.

Thank you for your help!
T.J.

Looking for some guidance from the pediatric experts!

What is your workflow for replacing ostomy output?
Let's say, the order is to replace with 0.45% NS, mL for mL for ostomy output.
That 0.45% NS will ultimately go in the TF bag and be administered enterally.
Would you pull the volume off a 0.45% NS IV bag (stopcock) and reuse for 48 hours? Would you draw up the volume and dispose of the bag each time? We are looking to shore up our workflow and would appreciate hearing how you do this.
Thanks!
Stacie Ethington MSN, RN
Nebraska Medicine

We are an Epic-Omnicell hospital. We would like to have ampicillin vials loaded in the NICU Omnicell but encountered IT issues.

Has any Epic-Omnicell hospital succeeded in loading ampicillin vials in Omnicell?

Hi All
We periodically have issues where the rate that is determined in epic is not the same as the rate in alaris (with all the same entered information). These discrepancies cause confusion (epic rate = 0.08 ml/hr and alaris = 0.07 ml/hr) and solutions seem to be risky/cause other potential errors to make the rates match.

This seems to be due to a few things:

-epic and alaris round differently
-weight entries in epic.

Our NICU population has the weight entered for NICU babies down to the gram (i.e. 331 g = 0.331 kg).

Hi everyone,
We're doing an assessment of our current implementation of the periop guidelines. A question came up for 4.4: Include a machine-readable code (e.g., barcode, radiofrequency identification [RFID]) on all syringe and infusion labels, including those that are PRACTITIONER-PREPARED, by 2025.
Exception: This excludes medication labels used on the STERILE FIELD. Use sterile, pre-printed medication labels on the STERILE FIELD, whenever possible.

Hi all!

I am wondering if you all report documentation errors in your error/event reporting systems. For example, if a provider leaves out information in their note, would staff report this in the event reporting system? Would it still be reported if the information is in another part of the chart? For instance, a provider does not indicate that a patient is pregnant in their note, but there is a pregnancy flag somewhere else in the chart would this still be considered a documentation error of omission?
Appreciate your insights!