I was wondering what library in the Alaris pump 3% NaCl is under for other institutions. We discovered our nurses are using "basic infusion" or "IV fluid bolus" entries to bolus 3% saline. Currently our 3% bolus options entry is built in "Drug" library and not the "fluid". As a high alert medication was wondering what other institutions do to ensure it is run on the pump appropriately. When the nurses choose "basic" or "IV fluid bolus" it bypasses the double check in place on the pump built for 3% NaCl.

Hello,
For those institutions that utilize 23.4% NaCl, would you be willing to share any Risk Assessment, FMEA, policy, or protocol you have surrounding it's use?

Thanks in advance!
Rhonda Hammerquist
Sanford USD Medical Center

rhonda.hammerquist@sanfordhealth.org

Hello everyone,

Does anyone have MMR vaccines loaded in their high risk/labor pyxis machines? Or do you all dispense from pharmacy on request?

We currently have it dispense from pharmacy to avoid an accidental administration to a pregnant patient. However, while evaluating work flow and efficiency during distribution, some were questioning if it could be loaded in pyxis given it would still be secured and the nurse would only be able to pull it under an active order..

Thank you!

Hi everyone,

My currently facility previously compounded all potassium chlorides. Their standard was 40meq/500mL NS (osmolarity 450) & 20meq/250mL NS (osmolarity 450). About a year and a half ago we switched to premixed Potassium Chloride 10meq in 100mL water for injection (pH 5 osmoloarity 200). Since that switch our front line nurses have reported that most patients cannot tolerate this due to pain/burning, even with slowing the rate & y siting with fluids.

Hi all-

Does anyone have a safety automation checklist for an RFP review process? We're specifically looking for outpatient but if someone has something for inpatient, I think that would be value added as well. Thank you!

Our transport team has inquired about the safety implications of using the B. Braun Perfusor Space Syringe pump for both enteral feeds and IV products. The benefit is a reduction in both weight and space, which will be particularly beneficial for transport via helicopter. This product has a removable purple enteral faceplate available to distinguish from the default green faceplate. The pump is compatible with ENFit syringes, but there is no hard stop requiring the use of the color-coded faceplate or to prevent administration of an enteral product IV, which makes me hesitate.

Good afternoon,

Has anyone reported seeing discolored IV medication solutions when drawn into a syringe using a "red" blunt tip needle by Monoject?

Kind regards,

Kelly Biastre
Sr. Consultant Medication Safety

Hello Colleagues,
We are experiencing challenges with continuous infusion tacrolimus, and are curious around your practices with dispensing and priming for administration.

A few questions.
-What type of line do you dispense it on from Pharmacy? (e.g. short set, primary, etc)
-Do you prime the line with drug, compatible diluent, or "other"?
-If priming with compatible diluent or "other", how does nurse prime?
-If you have peds, does your process distinguish from adults and if so, how?

Happy Friday!

Hello!

Our hospital is new at having a PGY1 residency (currently on our 2nd class) and also new at having a med safety pharmacist position (less than 2 years). Our med safety rotation for the residents is longitudinal over 6 months. Currently, it is a project-based rotation, and they also attend the quarterly med safety meeting.

Since the residency and med safety position are so new, I was looking to get some ideas as to what you have your residents do on your rotation.

Thank you in advance for all your help!
April

Does anyone with both Epic and Omnicell have a better way to manage patients who come in with their own medications that may also be stocked in the ADC. Background: ketogenic population that needs specialized (sugar free) formulations that we may not have in stock. If entered/verified incorrectly, the ADC leads the nurse to the formulary, stocked product that is inappropriate for this patient. Their specialized medication is being stored in a patient-specific tower bin.