MSOS Discussion Board

sensor driven insulin pumps in the hospital

Lindsey M Eick's picture

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Has anyone updated their home insulin pump in the hospital policy to include language surrounding the use of sensor driven insulin pumps? Our endocrinologists are asking to update the policy but there still a lot of questions on next steps and safety on these newer insulin pumps.

Appreciate any thoughts/guidance and updated policies if you have them!

Thanks
Lindsey

3% Saline in ED

Cicely Williams's picture

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Hello All,
For those of you who have placed 3% saline your ED ADCs, what mechanisms or safety strategies did you put into place to prevent confusion?
We have a request to add from our Trauma team specifically to the trauma Pyxis machine but I am apprehensive since it is a concentrated electrolyte in a nonprofiled area.
Thanks so much for your help.
Cicely Williams, PharmD

Exparel - risks and mitigations

Killian Hanley's picture

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Hello all,
We are reviewing a request to add Exparel to formulary at our pediatric hospital. There are 2 main concerns we have with this medication: 1. Cannot administer a local anesthetic for 96 hrs after Exparel administration due to toxicity, 2. Looks like propofol but cannot be given IV so concern for wrong route error and harm.

If your institution has Exparel on formulary, what mitigations do you have in place to prevent these errors from reaching the patient?

Thank you in advance!

Off-hours chemotherapy preparation

Julie A DAmbrosi's picture

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While we do our best, for all clinicians involved, to limit chemotherapy preparation and administration to day & evening hours, occasionally a patient is admitted with an acute need that requires overnight pharmacy staff to prepare chemotherapy. While all of our staff complete the periodic didactic content for hazardous compounding, we do not currently have guidance on the periodic practical competency demonstration. Interested in hearing from other institutions
Do you have a hard stop for off-hours/overnight chemo preparation?

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