Our organization is preparing to transition to RX Crush as our new device to use with ENFit syringes/pouches. It's been a few years since this topic was on the forum, so I wanted to reach out to learn from any organizations that have transitioned to this product.

1. Have you had issues with maintaining supplies for pouches, adaptors?
2. Are the nurses using one pouch/one syringe for each drug, or do they re-use the same syringe after flushing with water?
3. Are there lessons learned you can share with us about success/challenges post-transition?

Thanks!

Hi Everyone,

Wanted to ask what your organization's target goal is for auto-programming IV medications that are being infused via a Smart Pump (if you have bi-directional interoperability with your EMR)? Is it the same target goal as the one you use for compliance with the use of dose error-reduction systems (DERS) or do you make a differentiation?

Do you know of any national benchmark for this metric (I only can find benchmarks related to the use of DERS)?

Thank you! Much appreciated. Alex

Hi Everyone,

Wanted to ask what your organization's target goal is for auto-programming IV medications that are being infused via a Smart Pump (if you have bi-directional interoperability with your EMR)? Is it the same target goal as the one you use for compliance with the use of dose error-reduction systems (DERS) or do you make a differentiation?

Do you know of any national benchmark for this metric (I only can find benchmarks related to the use of DERS)?

Thank you! Much appreciated. Alex

Hi Everyone,

Would anyone be willing to share their Moderate Sedation P&P with me? Our Organization is working on updating the process and we would like to see some written examples. Thank you so much for your consideration and assistance!

Respectfully,

Jason Perry, PharmD, BCPS, CPh
Clinical Specialist Pharmacist
Holmes Regional Medical Center
Melbourne, FL

Know this topic tends to circulate on this board, but looking to gain some insight into what organizations have for policies that define what medications are restricted to specific areas of the hospital (e.g., ICU only) and/or require special monitoring such as telemetry. Looking for a few good examples of policies and lists that have been effective in driving appropriate patient care/monitoring decisions, without being a barrier to patient care/flow due to being "overly prescriptive". Thanks for your input!

Hi Everyone,

We have a process for a patient to take their own supply of med(s) in the hospital. We need help with patient meds Not to be taken while in the hospital. The current process is to have the supply go home with family or a care taker. This is not working. So, I am curious to hear what other sites are doing.

Thank you,

Margaret

Interested in what other institutions are doing with CRRT using Primasate 4/2.5, 2/0, or 0/3.5 and Phoxilium 4/2.5.

Do you use ACD? Do you make a separate infusion of calcium chloride? Or, do you add calcium chloride to the bags? Are calcium gluconate bags used intermittently sufficient to maintain calcium levels?

Our IV room gets overloaded with having to make bags with calcium chloride which end up not being used and lots of waste.

I have attached our order set for initiation of CRRT.

Thanks

Heidi Ault
Penn State Health

Dear Colleague, We are in the process of adding medication safety technicians to the Medication Safety and Compliance team. Is it possible for you to share your medication safety tech job description if you have one?

Thank you in advance for your help.

Mohamed Sarg

Our oncology service line will be implementing some new therapies which require infusion with radioactive medications: Lutathera and Pluvicto. I am still in the discovery phase, and I'm looking for anyone who has had experience implementing these. The request from this service line is to purchase an ambulatory infusion pump that our health system currently does not utilize. I'm going through the details to determine if our current pump options will work, which can help for managing drug libraries, service by our biomedical team, and supply purchase standardization.

Our hospital is not open 24hr, so we have been compounding sodium phos 15mMol/250mL bags to leave available overnight in case it is needed. The vial will fit onto an add-ease bag though, so I'm thinking of supplying them this way instead of wasting them when the compounded ones aren't used. Thoughts on technically having this concentrated electrolyte (15mMol/5mL) vial outside the pharmacy? It would be attached to the 250mL bag via add-ease connector, so not on it's own. Thank you.