How does your EMR display salt forms in the EPIC display name. For example, with calcium carbonate 1,250mg. In the order name in EPIC when the physician is ordering what does it state.

Calcium Carbonate 1,250mg OR

CALCIUM CARBONATE 1,250 MG (500 MG ELEMENTAL CALCIUM) TABLET

We currently have in the administration instructions:
1250mg =500mg Elemental Calcium

Thank you,
Sara

Hello,

I am wondering if anyone can share how their facilities display drug names (especially for combination products) when there are character limitations? Some drugs we are struggling with are Genvoya and Stribild, and other multivitamin drugs. If we display enough of the drug names, the strengths get cut off from the label. The current system we use allows the additional display of brand name, which is how we are differentiating between products for now.

Thanks,
Hilary

I am new to my medication safety position and am working to establish some metrics that could be tracked and reported at our Medication Safety Committee meetings.

Do any of you have dashboards or metrics that you would be willing to share?

A bit of an odd question for this forum but thought I'd give it a shot.

We were cited in our "JC Mock" for a small area in our ante room where the cart rubs against the wall and started to wear away some of the paint. We decided to get the room repainted and sought out "epoxy coated" paint. We ran into 2 issues:

1. Supply chain issue with acquisition
2. The product we found has a fairly long cure time taking our IV room down for 8 days. (Yikes- our largest IV room area).

Good morning,
We're looking to develop a medication auto-verification policy at our institution. Does anyone have a policy at their institution and won't mind sharing?

Thank you!

Any sites have pain/sedation kits for trauma cases coming into the ER? Recently we had a very difficult to sedate and delays obtaining the medications for a trauma patient. The ER and trauma surgeon are requesting a kit containing pain and sedation medications for urgent/emergent use, like the RSI kits. Example medications requested are fentanyl, midazolam and ketamine. 

The RiaSTAP package insert states, "Before administration, filter reconstituted RIASTAP solution with a 17-micron filter (not supplied) into an appropriate syringe."
Please share how you are doing this, where you are obtaining a 17 micron filter and if you are using syringes vs empty bag. If syringe, are you using a syringe pump?
Does your OR reconstitute their own and how do they filter it?
Thanks!

Good afternoon,

I recently had an issue where a patient was refusing doses of his anticoagulant. Per policy the nurses were indicating the doses were omitted on the MAR, but the physicians doesn't routinely view the MAR so he wasn't aware.

Does anyone have a policy that address a situation like this and provide guidance to nurses on when to contact the physician and make them aware?

Should such a policy address the number of refused/omitted doses?
Should such a policy take into account the type of medication involved?

Thank you ~Jennifer

Everyone's favorite hot topic, with a slightly different twist...

Thanks in advance for anyone who is willing to share and/or help us with this issue that seems to be a consistent (& persistent) focus for JC and one that we continue to post on on this site (thankfully).

We are in our JC window. We've had 2 mock surveys this past year, both of which always find something with titration orders albeit not always the same issue.