How does your organization address the use of multi-dose vials in patient rooms that are in isolation status?
Most inpatient care areas in my organization have medication storage just outside of the patient rooms (in a locked medication drawer). The question has come up for patients that are in isolation, what is the most appropriate way to store MDVs like insulin? We use BCMA and would typically prep the insulin at the bedside and return it to the drawer to be used solely for that patient. But if the patient is in isolation, that complicates things (risk of contamination).
1. How are implanted Intrathecal pumps documented at your institution?
2. Are medication orders entered on the MAR for these infusions?
3. How are drug combinations orders handled such as clonidine/HYDROmorphone or morphine/bupivacaine; i.e., are these combinations setup in the hospital formulary for CPOE, ordersets, etc?
4. Is a Pain Management Consult required.
5. If not, who reads the pump programming?
6. Do you have a policy governing IT pump use in the hospital?
7. Are you willing to share policies and/or ordersets?
would anyone be willing to share their diversion policy(s)?
We need to update ours and any help is appreciated. I understand there may be differences between different States however I will take that into consideration.
Just wanted to inquire if anyone has addressed in your EHR, appropriateness review (e.g., drug allergy check; drug-drug interaction, etc.) for procedural medications (e.g., local anesthetic for dental procedures; local anesthetic for central line insertion, etc.)?
Do any of you have antibiotics on override in your ED for initial doses in sepsis? Preferably pharmacists would review all of these but as you all know the literature shows that delay in administration can lead to harm. I was just curious how others have approached this. Thanks,