Colleagues,

Hi everyone, reaching out to see how sites using EPIC schedule bolus insulin around meal times/trays?

Trays are delivered at different times on different units, causing some humalog orders to be "over due" by the time trays arrive. Current humalog times are TID AC 0730/1130/1630.

Wondering if there are creative ways to schedule bolus insulin that works for others.

Thank you!

Hi everyone,
I am seeking input to query if any of your institutions allow fentanyl patches to be ordered on patients that do not have 7 days of documented opioid doses: at least 60 mg oral morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg oral oxycodone per day, 8 mg oral hydromorphone per day, 25 mg oral oxymorphone per day, 60 mg oral hydrocodone per day, or an equianalgesic dose of another opioid?

Our Diversion team has asked us to take a closer look at the CS we allow to be obtained through override function. Would anyone be willing to share which controlled substances are on your hospitals list? Happy to accept the full list if it's easier to share. ThankS!

For those of you who are members of a PSO related to medication safety, what PSO are you a member of (ECRI/ISMP PSO or other), and what has been the most valuable part of being part of that particular PSO?

Thanks!

Our health system is working toward opening an urgent care ambulatory clinic at a ski resort nearby. The providers are requesting to have narcotics and some sedation medications such as ketamine and midazolam on site. None of our other ambulatory clinics, including our urgent cares, currently carry or use any controlled medications.

Hi all! I know this topic has come up before but hoping to learn more about how other institutions handle IVIG dispensing/administration specifically in the outpatient setting (such as in an infusion center).

Inpatient we dispense patient-specific bags but outpatient we dispense bags of multiple vials that leads to cumbersome workflows for nursing and less safety measures with scanning.

1) How do you dispense IVIG doses outpatient
2) If you use multiple vials, what measures are in place to ensure safe administration

Thank you!!

Hi all,

We are looking to gather insight on how different institutions standardize "protect from light" requirements for medications. Specifically:

Hello fellow Med Safety colleagues.

I am currently reviewing our organization's med error reporting culture and looking into ways to improve it.

I am curious to see how our reporting behavior compares to other institutions so am hoping you would be willing to share the following:

How does your organization administer IV valproate in the setting of status epilepticus? IV push? Diluted or undiluted? Bonus points if you can share how you have it set up as an orderable in Epic.