Hello everyone!

Do you all have policies that explicitly say to give heparin drip via a dedicated line?
And is it run as a primary line vs secondary?

None of our policies specifically say this and we're getting push back from a few folks that want the ability to use the same line for other meds. My understanding has always been that it should be through a dedicated line due to multiple reasons:

Hello,

Would anybody be interested in sharing policies or procedures around their ED pharmacists' roles and responsibilities as it relates to the medication use process in the Emergency Department?

Interested in information about their roles as it pertains to both trauma and non-trauma situations; preparation of medications with orders and medications removed from ADC on override, as well as the hand-off process when pharmacy obtains med from ADC and/or draws up for administering end user.

Thank you,

Matt

Matthew T Beaulac, PharmD, MS

Good morning,
What timeframe does your facility allot for nursing to administer meds with the following order priorities?

STAT -

NOW -

ROUTINE (non-time critical meds)-

Trecia Swanston

Hello,

I was wondering if it would be possible to find out what everyone's practice was regarding giving the bolus dose of magnesium in Obstetrics (for preeclampsia,etc. Particularly if you use Alaris pumps. Do you bolus from the 20g/500 ml main infusion bag? Or do you send separate 2,4 or 6g bolus bags and then start the main infusion? Also do you have pump integration?

This may seem like a silly post for pharmacy....

Does anyone have any instructions on directing nurses on how to administer Infusions? How are they directed to administer primary versus secondary infusions.

The issue is coming up with use of Alaris pumps and guardrails to prevent alarming...then with timing of chemo/investigational meds. In order to time the infusion properly, how do you get the drug through the line when administered as a secondary...keeping in mind that the line has to be cleared of the saline or dextrose. How is the pump programmed?