Hello all.

Our organization is looking to build a methylene blue infusion in our EHR (EPIC).

According to the ProvayBlue package insert, methylene blue should only be prepared using D5W due to the potential risk of precipitation associated with reduced solubility in the presence of chloride ions.

Our hospital have reported many allergic reaction to contrast dye ultravist-370 some patient even going in to anaphylactic shock. Is this a common occurrence with this product.
Are there any method of reducing this risk? Is there any reports on hair dye allergic patient being allergic to above product?

Our hospital have reported many allergic reaction to contrast dye ultravist-370 some patient even going in to anaphylactic shock. Is this a common occurrence with this product.
Are there any method of reducing this risk? Is there any reports on hair dye allergic patient being allergic to above product?

Greetings!

Wondering, for those sites that have implemented / gone live with smart pump interoperability -

1. What pump / EHR combination do you have?

2. Did you change anything with regards to nursing Independent Double Check (IDC) practice / policy with pump integration? (i.e., did you reduce or eliminate the requirement for IDCs and if so, did this happen concurrently, after go-live, etc.)

Does anyone have a process and policy regarding bladder instillations for free standing ambulatory clinics? Looking to see who should be drawing up the medications and mixing the solutions. Since these sites do not have a pharmacy to mix these instillations. Focusing on specifically the Whitmore Cocktail and Anesthetic/Steriod Cocktail
Thanks!

I was wondering if anyone can share process/SOP for medications needed in procedural areas that are not stored in a ADC. We do not have an OR Pharmacy. We have rare instances where a medication that is not commonly used; therefore, is not in the ADC is warranted. OR/procedural area nurses call pharmacy for the order without entering an order in EHR (usually they don't enter orders as meds are available in ADC). Pharmacists of course can't dispense without an order, but also don't want to delay care. Does any one have a written practice to address this gray area?

We had a recent report of an L&D patient with uncontrolled pain not receiving their epidural infusion (we use CADD-Solis, model 2110) despite appropriate infusion pump programming/setup. The pump was programmed and running but no medication infused for several hours.

Has anyone had similar issues with CADD?
Anyone using Eitan Medical Sapphire pumps for epidurals?

Thanks,

Will Vincent
Medication Safety Officer
Boston Medical Center

We currently restrict neostigmine administration to critical care areas. Do you have a similar restriction? If you allow in lower acuity units, do you limit the dose or route in those areas?

Thank you.

In Current State we have removed the use of a Buretrol system from the majority of our locations (except for anesthesia/OR workflows). Our Emergency Department is still using a buretrol system to administer intermittent medications that require a patient specific dose from a ready to administer bag. Have you successfully removed the use of a buretrol system? If you still use a Buretrol system -- what are the use case/purposes (dilution?, partial doses from a RTA?).

Hello,
We are looking at updating our High Alert Policy and just wondering what alerts other Hospitals use on their high alert medications. (i.e. stickers, ADC pop-ups, EMR alerts etc. ) Do you feel like alerting helps to reduce errors ? Thank You!

Jen