Just wondering what sites do to prepare insulin infusions for the ICU? Do the ICU nurses/pharmacists prepare the infusions on the units using a Multidose Vial? If so, would that MDV be used to prepare a drip for more than one patient? Or are infusions prepared by pharmacy?

Hello all,
We are currently reviewing Allergies Listed as "Other" in the patient's chart. Some of these are inappropriately entered when there is a designated allergy, but it is placed under "Other" which ultimately does not alert of any interactions/other clinical decision support. An optimization we are looking into is setting an alert to fire when using the "Other" option. Would love to get other institutions' insight on the allergy documentation process.

Thank you!

Good Afternoon Members- Wondering how you monitor the use of chemical restraints at your institution. Which meds are included? Is it retrospective or prospective review? How you capture this data from CPOE? Is there a workgroup to review patients on these meds? Who is responsible for audit?

Thank you in advance for your time!

Manisa

Hi all,
We are revising our criteria and process for which medications can be considered "standard stock" in our automated dispensing cabinets. I'd appreciate your insight on how you've addressed this at your locations.

1. What criteria do you apply to decide if a medication can be "standard stock"?
2. Do you have restrictions on who (what roles) can tag a medication as standard stock in our ADC software?
3. Who approves the requests to add a medication to the standard stock list? Do you use your Medication Safety Committee? P&T Committee?

Hello All,
For anyone currently using their ADC's to store floor stock items (i.e. Hydrogen Peroxide, petrolatum, povidone-iodine solution, etc.) what has been your approach? Build out each product to vend individually or have a section reserved for them similar to a bulk med drawer? Thanks in advance for any information you can share.

Chris

Has anyone transitioned any high alert med infusions (pressors etc) to vial plus bag using a vial mate adapter or RIO device that the nurse could put together?

If you have, how did you mitigate any safety concerns?
If you evaluated and did not go that direction what led you to that decision?

Currently we have diltiazem and a couple of other meds but want to thoroughly consider before the system moves forward with additional meds, especially any high alert ones like phenylephrine. We also do this for antibiotics etc. so nurses are used to this process.

We had a recent error involving an erroneous height (3 feet), caused by incorrect nurse estimation. The patient was elderly and bedbound, which made it difficult to measure an accurate height.

How to other institutions measure height in patients that are unable to stand or lie straight?

Does anyone use knee height or demi-span (sternal notch to finger roots)?

If so, could you describe your process?

Thanks!

This has been posted before but I wanted to check again - does anyone have a best practice for KVO / carrier fluids for low volume infusions? (e.g. concentrated furosemide, PCAs, insulin, heparin, etc.)

The system I work for doesn't have a great process for nurses to recognize when a patient may need a carrier fluid or ordering and administering the fluid. Some of the additional questions are:

Our facility currently using two process to deliver medications to the nursing unt. Using a pneumatic tube system and sending the medication Via pharmacy staff. we looking for a different process, that will ensure the on time quick delivery of STAT medications to the patient and would like to hear from others about the process you follow in your facility.

Thanks

How are other institutions dealing with the albumin shortage? What operational and clinical changes have you implemented to help conserve stock during this time?