Our palliative care team is asking us to consider allowing propofol infusions for their patients. Does anyone have a protocol they are willing to share? We have some concerns about what nursing would (or would not) be allowed to do and how the dosing ranges/titrations are set up.

How many pediatric pump libraries does your institution employ or use? Do you use different ones for different pediatric areas such as PICU, oncology, general pediatrics or one consolidated pediatric library (separate from NICU)?

If multiple libraries are used, do you have different hard and soft limits based on the area for medications such as opioids, heparin, high-risk meds, etc..?

Thank you in advance!

Nick

Do you permit dietary supplements such as coenzymeQ10, melatonin, etc. on your formulary?

If yes, do you have any specific criteria that must be met for quality (example USP verified) before the product can be purchased?

Do you have any policies or other standards for use that you are willing to share?

Thanks

May

Hello! I wanted to alert this group of a safety issue that we encountered recently. Our facility uses Alaris infusion pumps and we had multiple reports last week regarding incorrect volume detection, incorrect rates of delivery, and backflow into syringes. Upon investigation of these events it was identified that we had received new syringes distributed by Cardinal Health labeled as MONOJECT syringes. They were different from our previous Covidien MONOJECT syringes with respect to barrel size, plunger length, dead space volume, and space between the volume.

Good morning. We use a 2 unit/ml heparin set on a pressure bag to maintain our intraarterial lines. We recently changed to the the Fresenius Kabi 1 L product and have had several incidences of the bags "exploding" Has anyone else encountered something similar?
Thanks All!
Leah Cochran

Has anyone had success in decreasing the incidence of BG<50 after the administration of insulin? We struggle with this measure. Thanks in advance!

If the quality department send finidings stated that there is no documented evidence of reviewing all components of the standard of appropriateness medication orders review can you please share with your ideas to comply and solve these findings how I implement and document that every pharmacist have been making correct appropriateness review for all the components of medication order

For hospitals that accept patients with actively infusing subcutaneous treprostinil infusions via Remunity Pump and allow patients to remain on the subcutaneous infusion during their admissions, I am looking for insight on how you support refill needs. Here are some targeted questions:

1) Does the inpatient pharmacy prepare/fill Remunity Cassettes?
--If no, how do you support patient refill needs?
--If yes, see question #2.

2) Does the inpatient pharmacy prime the Remunity Cassette and infusion tubing?

What concentration norepinephrine infusion does your institution use for patients with epidurals and having C-section? Do your anesthesiologists prepare this in the OR or do you have a standard concentration for them to pull and hang? It has come to light that our anesthesiologists are preparing and using an 8mcg/mL infusion and now would like this built in our EHR so they can document. Our standard concentration is 16mcg/mL - which we prefer to use.

Our air transport carrier, Air Methods, has restricted the use of any friction device to secure a piece of equipment. This includes our standard smart pump, BD Alaris, because it only has tightened twist clamps. Is any system running into this and can advise on how you are responding? I pause at adding another smart pump to our landscape, but that is currently what is being suggested.