At your organization, do you use ceftriaxone in neonates? If so, can you please share your criteria for use?
Additional questions:
- Do you have any electronic (EMR) safeguards in place to alert if a patient has received IV calcium containing products 48 hours prior and post 48 hours of ceftriaxone?
a) If yes, Does the alert capture one-time doses or doses administered in the ED or OR? Can you please share how the alert is built?
b) If no, Are there non-EMR safeguards in place?

Who is your MRI Pump vendor? Having an issue where our pump vendor cannot safely accommodate medications that are dosed in units, such as Vasopressin and Insulin. These cannot be programmed as decimals and therefore force the nurse to run in basic (volume/time) mode. DO you have these meds in your MRI pump library?

We have recently had a few of our orthopedists and anesthesiologists inquire about using low dose methadone peri-operatively at doses of 0.1-0.3mg/kg and was curious if any of your facilities had any related experiences you'd care to share. Obviously, with methadone's t1/2 of 12-60 hours, even considering using long-acting opioids for acute pain management gives me significant pause,b ut would also be concerned about QTc effects with increased methadone use. Thoughts?

We have recently had a few of our orthopedists and anesthesiologists inquire about using low dose methadone peri-operatively at doses of 0.1-0.3mg/kg and was curious if any of your facilities had any related experiences you'd care to share. Obviously, with methadone's t1/2 of 12-60 hours, even considering using long-acting opioids for acute pain management gives me significant pause,b ut would also be concerned about QTc effects with increased methadone use. Thoughts?

At your organizations do you share a report of all medication errors with your whole medication safety team? Or do you present highlights and trends? For us, every event is already reviewed by pharmacy, the department manager, risk/patient safety manager, and CI if needed. Is there a need for the whole team to review them (ie managers of other units for example)? Thank you!

Due to a few recent event reports relating to entry of verbal orders into Epic, we are in the process of reviewing the frequency/extent of verbal order entry at our facility. Our current policy states that verbal orders should be used "infrequently" and when it is "impossible/impractical" for the ordering provider to enter the orders themselves. Has anyone had to address a similar situation at their own facility?

Situation: The DKA calculator we have in Epic pulls weights from prior encounters for the initial insulin infusion dosing and errors have occurred secondary to old/incorrect weights being entered.

Background: Our system has a rule in place for all patients >18 years old that allows for a 2 day lookback at prior encounters for a weight. In some instances, a weight might be inaccurate compared to the weight in the current encounter either due to ‘stated weights’ being used, or differences in scale calibration.

Due to some recent events, we are re-evaluating the procedure for hospital-to-hospital transfers.

Currently, the procedure is to discharge/readmit the patient to the new facility (rather than "transfer"). This comes with 2 main issues that we have identified:

1. Although orders may be re-ordered from the previous discharge facility, they only include medications and potentially an incomplete list of orders. Safety banners and nursing orders that are tied to diagnoses or previous drugs administered (e.g., systemic thrombolytics) do not follow the patient.

Would anyone be willing to share your process for concentrated potassium for the operating room? We utilize this product during CT surgery cases with perfusion and OB termination cases. Do you allow storage outside of the pharmacy? Do you reconcile the usage and waste?

Hi Everyone. Can anyone share their process for patients with name alerts? Do you only place an alert in EMR/Omnicell if same last name, or fist name or only if in the same POD? wondering if anyone has a policy they can share.