Hello
With our previous EPMA/CPOE we recorded the location of medication patches on a body map on a supplementary paper chart. This supplementary paper chart also had a section to record daily checks of the patch still being in place.
In our new electronic health record we would like to record the patch location on a body map, as it is more visual than describing the location in words.
We would also like to record that nurses have checked daily that the patch is still in place.

While I realize that ISMP endorses USP that the most prominent labelling on repackaged meds is total dose per container volume, I am looking for input regarding how your organization expresses concentration, if at all, on the container.

Greetings,
Our organization utilizes Omnicell Anesthesia Workstations in our perioperative areas. In your organization:
1) Do nurses have access to Anesthesia Workstations or is it restricted to anesthesia?
2) Are the Omnicells in your perioperative areas profiled or non-profiled.

Thank you for your time,
Sloane Hoefer
Nebraska Medicine

Hello,

At our hospital, we recently had a discussion regarding order alerts/alert fatigue and the option of turning on the 'override all' button for addressing order alerts was reviewed. I'm looking to find out what other institutions have done regarding turning on the 'override all' alerts option and if anyone used guidelines or evidence to support your decision.

Thank you,

Sadie

Hello,

We are seeing an increase in the use of BUPivacaine (Liposomal) by our surgeons. How have you provided clinical decision support to not administer other local anesthetics or other formulations of bupivacaine within 96 hours following bupivacaine (liposomal) administration? Do your pharmacists receive any kind of alert?

Thank you in advance.
Damon

Does anyone have a process in place for preparation and administration of Cyanokit for pediatrics? We have reached out to the manufacturer, and they do not have any suggestions and have only studied administration using their tubing for adults. We are trying to determine if we should prepare it in the pharmacy vs. keep in the Omnicell for nurses to prep. (If it wasn't so time-sensitive we would certainly suggest pharmacy prep). Is anyone using Alaris to administer this drug?

Dear all,

What is your current process for ensuring TJC compliance with the multiple vasopressor or sedative orders. In other words, how are ordered entered in your EMR to ensure there are instructions on when to titrate vasopressor 1 vs 2 vs 3?

Thank you,
Deepika

We recently had a question come up concerning the scope of practice of CT technicians when administering IV contrast. When a patient goes to CT with a continuous infusion is it within the scope of practice of the CT tech to determine what medications can be stopped in order to administer the IV contrast and when a second IV needs to be placed? Can the CT tech stop and restart the IV infusion? Should a RN be present making this determination and starting and stopping the pump?

We have been batching syringes of dexmedetomidine and nitroglycerin for our OR. Anesthesia has expressed concern that these look identical (they do), and have asked for color coding. Have other people implemented colors for batched syringes?

If so, can you share your workflow and implementation processes?

Thanks,
Kara
UVA Health

We're in our survey window and I wondered if anyone would be willing to share any citation trends you are aware of for 2022-2023?