Hello,
Do you utilize protocols in the Ambulatory setting? If so--could you give a few examples? Do you use an "Initiate Protocol" order?

We have several inpatient protocols, but have some providers interested in expanding to the ambulatory space.

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

Hello All,

Hi everyone,
We just received a citation from TJC on our stroke survey for having incorrect medication routes ordered for meds in patients with nasogastric feeding tubes. Looking to see what tips/tricks/processes have worked well with ensuring proper routes end up ordered for these patients- i.e. is it a provider, nursing, pharmacy responsibility...or all of the above? Thanks!

Good afternoon, I am curious to know how other hospitals handle the ordering, distribution and/or storage of skin and wound care products. For example, our facility carries multiple moisture barrier products such as Calazime and Hydraguard, and several different types of medicated dressings. We have an algorithm on what to apply when, to guide nurses and providers on usage.

My questions are:

We’ve recently been reviewing how our organization orders free water for hypernatremia in Epic, and is interested in learning about how this is performed in other organizations.

How does your organization place orders for free water for the indication of hypernatremia? Where is the order placed, who reviews the order, and how is administration documented?

Thank you

Matthew Beaulac

Matthew.t.beaulac@lahey.org

Hi everyone! We use Kitcheck at our facility for replenishing and dispensing code trays and intubation boxes. How do you ensure that the visual check is being done?
Thanks!

We have both an adult and pediatric hospital and have been approached by our Peds ED to allow for the RN to reconstitute and administer partial vial/pt specific doses via IV push to improve turn around time (meet 60 min).
-example - dose is 700 mg cefazolin. RN pulls vial, reconstitutes to standard conc, draws up pt specific dose, labels syringe and administers via syringe pump guardrails.

Can you share how your pharmacy labels intrathecal medication syringes that will be used on a sterile field? For instance, do you draw up the drug and place into a sterile sealed bag then label the bag? or do you place a sterile label on the syringe then place into a bag?
Thank you, in advance, for your help.
Cathy

Hello all

We are in the process of upgrading our current diversion software and are working on a functional requirement document to provide vendors for initial screening purposes. Anyone willing to share their current diversion software requirements?

Thank you advance for your consideration.
Amy

What is your institution's policy/practice around the use of sample medications? Does your institution have a policy governing the storage, distribution, and use of sample medications? If so, would you be willing to share this document?