MSOS Discussion Board

Med Rec between Levels of Care

Joel W Daniel's picture

Forums: 

Med Reconciliation at all transitions of care commonly lead to error. While we do a good job at ensuring that we have some sort of reconciliation at the admission and discharge points, it is the transitions between levels of care that can be problematic at times. Our health-system is about to undertake a look into our hurdles and design an initiative to close our gaps in this area.

Please take the survey below so to help look across our health-systems to identify common issues and strategies others have taken. I will share the de-identified results with any that would like.

Carboplatin Adverse Reactions Reported for Teva product?

Miheret Tesfaye's picture

Forums: 

Hello,

Two questions related to reactions to carboplatin.

1. Are there any facilities or sites noticing an increase in reports of adverse drug reactions between brands of carboplatin? With the current carboplatin shortage, there is a perception with some of our infusion centers that the Teva product may be resulting in an increase in ADRs for patients.

IVIG Dispensing Method - Quick Poll

Brent Dammeier's picture

Forums: 

Hi everyone,

I am trying to gain a better understanding of how different locations approach their dispensing process for IVIG (vials vs pooling).

This forms poll should take ~ 1 minute to complete and I will circle back with the results in when it closes on June 1st.

I appreciate any additional feedback you feel comfortable sharing around decision making to pursue one method or the other.

https://forms.office.com/r/5rfPdSSG9N

Thanks!
Brent Dammeier

Best Practice for Returning Unused Meds to Pyxis (ADMs)

Chad Simpson's picture

Forums: 

Does anyone know of a best practice guideline for a timeline requirement for clinicians to return unused / unopened medications to the automated dispensing machine (Pyxis, Omnicell, etc.) after they've taken the med out of the machine for a patient and then not used them (ie. patient refused, etc.)?

Or, if you don't know of a published guideline, what timeline does your facility require?

Note: I'm not talking about wasting medication, but rather returning unused / unopened medication.

Thanks -
Chad

Creating a MERP

Caitlin Wells's picture

Forums: 

Our health system would like to start creating MERP. We currently have a medication safety scorecard that anchors our medication safety committee but would like to create a more formal MERP. Can anyone share a template, guidelines or example of what you used or are doing at your facility? Thanks!

Central vs. peripheral administration

Melody Sun's picture

Forums: 

What system functions do you leverage to ensure nurses are administering IV medications through a central vs. peripheral line appropriately? We are encountering increased infiltration and extravasation risk and actual events because of several peripheral administrations of infusions that should be given through a "central line only." Currently, our pharmacists need to remember to copy over an order comment for nurses to remember to hover over the order to see them (we use Cerner).

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