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Compliance percentage with smart pump libraries

Laura Steinmetz-Malato's picture


We are exploring setting a benchmark goal for RN use of smart pump libraries. Does anyone have a "best practice" or goal percetage they would like to share and explain why this is the target?

Laura Steinmetz-Malato, PharmD
System Manager Medication Safety
Swedish Health Services
Seattle, WA

Broken Bicarb Syringes

Julie Caler's picture


Recent injury report of a nurse cut when plastic flange broke when administering the dose during a code. On follow up, I was advised that several other syringes have done the same thing. We have placed a formal report with the company but I wanted to reach out to this group to look for any similar occurences. Staff do describe it taking a lot of pressure to administer the medication

Any feedback is appreciated

Julie Caler
MSO Western Maryland Health System

Medication safety program & number of medication safety staff in hospitals

Salma Al-Khani's picture


Dear all:
I know this is not the first time to bring this question, but I tried to search for it in the forum topics and could not find it.
In our hospital I am working to establish a medication safety team/unit, currently I am writing the business case or proposal for it. I am planning to include the number of big hospitals similar to our hospital (Tertiary care leading teaching hospital with around 1100 beds) that have a structured medication safety program/ team / unit with a full time FTEs in the document.

Patient Own Medications Used in the Hospital and Employee Safety

Kimberly Miller's picture


My hospital system over the past 6 months has had increased attention around dangerous medications possibly found in the community and their risk to health care providers (Carfentanil, other synthetic medications that can cause overdose from touch exposure). This issue has been combined with a more recent issue of illicit medications that are being packaged to look identical to prescription medications (Example: Heroin being pressed to look like Percocet).

MSOS Member Meeting Follow-up

At the recently held MSOS Member Meeting during the ASHP Medication Safety Collaborative in Minneapolis on June 4, 2017, a member shared an occurrence that happened in their facility.  The member believed that a defect in BD’s (Pyxis) MedStation ES software resulted in the misinterpretation of an order frequency intended to be every Monday, Wednesday and Friday as every day that was associated with a patient incident. David Swenson, Vice President, Clinical Strategy, Medical Affairs, Medication Management Systems at BD attended that meeting and publicly volunteered to investigate the report. David shared his investigation For the full message with an excerpt of his findings, please click on the title above.

Adult Patients with Pediatric Weights

Rachel Rafeq's picture


We recently had a 15 kg adult patient being cared for in our ICU and due to her low weight multiple dosing errors occurred.

Does anyone have any suggestions for how we can flag for this unique patient population or develop a trigger to the pharmacist to alert him/her to review the medication against the weight?


"Carry Policy"

Allyson Fonte's picture


During a recent mock surveyor it was brought up that our institution does not have a "carry policy" or built into another policy verbiage addressing stability/temperature monitoring of medications within fanny packs. I was wondering if anyone has anything specific to this and how you are executing it.

Thanks in advance

Epinephrine Infusion Compounding

Sara Gibson's picture


What are other facilities doing in regards to epinephrine IV infusion compounding since the IMS brand of epinephrine 1 mg/ml, 30 ml for IV dilution has been discontinued by the manufacturer?

Currently, the only large vial of epinephrine available is the Adrenalin 1 mg/ml, 30 ml vial by PAR and it is very specifically listed for Intramuscular or Subcutaneous Use only. The FDA has not approved for IV infusions and the company cannot provide any off-label use for IV infusion as well.

Methotrexate for Ectopic Pregnancy

Sarah Katherine Gallup's picture


Our pharmacy compounding suite is undergoing a renovation starting mid-July, including our sterile hazardous compounding room. For any chemotherapy needed our Cancer Center across the street will compound it for us (we do a low inpatient volume). The one scenario that we don't know what to do with is methotrexate for ectopic pregnancy since this could happen overnight when our Cancer Center is closed. Any one have any contingency plans for something like this?

Crushing Hazardous Medications

Madiha Syed's picture


Do you allow nursing to crush one time doses of hazardous medications on the floor to administer via g-tube or do you require pharmacy to crush in a controlled environment per USP 800?

If you allow nursing to crush on the floor, what device do you use for crushing and what additional PPE requirements do you have for them?

We are struggling to determine if pharmacy needs to take over crushing activities for hazardous medications (non-antineoplastics and reproductive risk).

Thank you,