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Patient allergies to medication excipients identification and prevention

Salma Al-Khani's picture

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Dear All:
I would like to enquire your process to identify and prevent patient allergies to medication excipients.
We had one patient who has a documented allergy to peanut and sesame oil. She was prescribed a medication suppository that contains a peanut oil.
This was not discovered by the patient's physician nor pharmacist, but it was discovered by the patient her self while reading about the medication in our patient education website.

CPOT Assessment

Allyson Fonte's picture

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For those of you using CPOT assessment in your ICUs, could you please share your protocol or policy? Specifically the guidance to nurses on titrating analgesic drips to reach appropriate doses (i.e. are you doing an “analgesic holiday”, how often, when to do the CPOT assessment after rate reduction, etc.). Any guidance or information would be greatly appreciated. Feel free to email me directly if preferred. Allyson.Fonte@msmc.com.

Thank you

Cerner and Abacus for TPN orders

DiAnthia Patrick's picture

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We're in the process of rolling out BCMA and have gotten a little more than 50% of the way through this.
We're a pediatric hospital and we still prepare all TPNs on-site.
We use ABACUS for TPN processing. Prior to BCMA our workflow was to affix all products with an Abacus patient label.
Post go-live with BCMA, the workflow changed such that we're now having to affix 2 labels on TPN bags. The Abacus label with the list of detailed ingredients for the TPN, and now a Cerner label which contains the barcode that's needed for the RN to scan.

DosEdge Downtime Processes

DiAnthia Patrick's picture

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Hello,
We're currently in the middle of planning to go live with DosEdge in September ( 2017).
As we understand it they have several planned downtimes.

I wanted to know if anyone has downtime procedures you're willing to share that you've found to work well. We're writing draft policies now and don't want to learn from others without reinventing the wheel. We know we can't think of everything as we in the middle of planning, training, and getting things set up.

Thanks!
D. Patrick
Childrens National Health System

Thanks so much

Triprostonil (Remodulin) Process at your organization

Rabih Dabliz's picture

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Dear all,

Can you please share the workflow you have in place in your respective organizations for the management of patients on triprostonil. While we have a comprehensive procedure, I am looking at developing a quick reference guide on best practices for management of such patients (mini checklist, patient pump card..etc)

Much appreciated,
Rabih

Propofol Bolus Regulations?

Rachel Rafeq's picture

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Hello,
Is anyone aware of any regulations in New Jersey or other state where bolusing propofol is only allowed by a CRNA or anesthesia?

If so, have you identified any exceptions or work around this for this? It is currently our number one most overridden medication in the smart pump and we had initially considered building out a bolus order in epic until we learned of this new regulation.

Best,
Rachel

Propofol Bolus Regulations?

Rachel Rafeq's picture

Forums: 

Hello,
Is anyone aware of any regulations in New Jersey or other state where bolusing propofol is only allowed by a CRNA or anesthesia?

If so, have you identified any exceptions or work around this for this? It is currently our number one most overridden medication in the smart pump and we had initially considered building out a bolus order in epic until we learned of this new regulation.

Best,
Rachel

Communicating blood glucose results

Dan Sheridan's picture

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I'm interesting in knowing what strategies you have in place for safely communicating blood glucose readings from patient care assistants to nurses. I've seen cases where patient A has been treated for patient B's blood glucose level, and even cases where a patient has been treated for a blood glucose level that was actually a room number.

Given human nature, how do you stop someone from telling a nurse "213's blood sugar was 308"? Or from jotting down the blood glucose readings for 8 patients on a piece of paper, and then transposing numbers when entering them in the computer?

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