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!

Can anyone share how they administer letermovir to pediatric population who can not swallow the whole tablet. There is a "do not crush/cut" warning in Lexi and PI. Drug manufacturer stands by their message.

Greetings, The question about med safety structure has been asked many times before but I have a new spin on it -

If you are satisfied with your med safety resources, can you explain your structure/roles? Please include the size/number of facilities, and types of duties.

If you feel you need more med safety resources, what are you lacking? What would make it better?

Your expertise is needed! We're conducting a survey to enhance patient care through pharmacist counseling.

Survey Purpose
To prioritize inpatient for pharmacist counseling, focusing on those who would benefit the most

Survey Details

Our institute allows multiple use medication for more than one patient ( if it’s prepared properly in the medication room under aseptic technique and labeled with opening date , time and initial .

My question is , in ER resuscitation area we have multiple use high alert medication ( insulin, Heparin)
What’s the best practice to eliminate contamination?
Shall we discard after single use ?

Thanks

Greetings ,

I am wounding if vancomycin for wound irrigation is approved to use to reduce surgical site infection post surgery,

If yes , can anyone help to have a guideline or a reference.

If no , what’s other can be use in such cases ?

Thanks in advance .