Good afternoon,

For those facilities that have adopted interoperability with BD Alaris, could you share what process you follow to flush secondary medications, small-volume syringe medications, and large-volume syringe medications?

Thanks!
Mel

Hello, what does your organization use to dilute epinephrine in emergency time sensitive situations (eg as the drip is being brought to the patient)? There has been discussion around checking the availability of sterile flushes for this purpose.

Hey Everyone!

Our NICU is experiencing issues with SMOFlipids (potentially intralipid as well, they are just calling out SMOF as this is the primary lipid we use in our premature neonates) backing up, specifically when being administered via 1.4F PICC lines.

1.If you use SMOFlipids - what filter are you using, and have you experienced clogged filters or other issues with the infusion (particularly with extremely low rates)?

How are you addressing the compounding of NIOSH medications with just reproductive risk (like valproic acid IV)? Are you compounding in BSC? Or does it depend on the staff compounding it?

Is ISMP still providing/publishing a quarterly ISMP self-assessment? I can't find them anymore. Thanks!
Jennifer

For those of you on Epic, what EMR infrastructure do you have in place and utilize to facilitate medication reconciliation during transitions of care? Some specific questions:

1. What navigators are you using?

2. What is pharmacy’s involvement in discharge med rec?

3. How are you notified in real-time of a discharge?

4. What type of security does pharmacy have to change medication orders at discharge?

5. How do you ensure the discharge med rec is done before the patient discharges?

As the ISMP LASA list or Confused Drug Name list has grown exponentially over the years and manufacturers are allowed to make identical looking products without repercussions how have healthcare systems responded?

Our hospital utilizes the chemo lock product for our chemo preparations. One issue we have run into are small volume chemo < 1ml. To affix a needle to the chemo syringe with a chemo lock the nurse is to affix a chemo port to the chemo lock. The problem is the lost volume of ~0.13-0.15 from the port. This lost volume can be substantial in low volume doses of chemo.

For hospitals that utilize chemo locks for their chemo preparations, what do you have your nurses do to affix the needle to the syringe?

Hi,

Our organization is in the process of standardizing our intravenous infusion pumps to the Baxter Novum IQ Large Volume Infusion pumps. Our EHR is Cerner.

We are looking to connect with other organizations who have undergone and/or are in the process of going to interoperability with Baxter/Cerner.

Please let me know if you would be interested in connecting offline.

Thanks!

Hello,

Curious to know if anyone has Lutetium Dotatate built in their smart infusion pump library or if you are running it as a basic infusion.

Thank you!
Maha Kebir, PharmD, MS, BCPS, CPHQ, CPPS