Does anyone have a neuromuscular blocker SOP they would be willing to share? Looking for a SOP specific to pharmacy that outlines from procurement to stocking steps that pharmacy personnel should be taking (including storage, labeling, ADC settings, etc.) Thanks for the help.

In ISMP’s perioperative assessment, it is recommended that “Irrigation solution containers stocked in, and/or dispensed to, perioperative settings are packaged in 2- or 3-liter bags, pour bottles, or other route-specific packaging to differentiate them from IV bags.”

1. Are you aware of any clinical or safety reasons why a 1-liter irrigation bag would be needed and in which a 1-liter irrigation pour bottle or a 2- or 3-liter irrigation bag couldn’t be used instead (or wouldn’t be ideal for use)?

As we continue going down our journey, I wanted to poll this group on what you had set up in terms of a look back for drug-drug interactions and for duplicates?

Hello,
Does your hospital employ any particular safety strategies in the eHR build of IV sodium bicarbonate to ensure the resulting solution is not too hypotonic? For example, does it block sterile water or D5 from being used as a base solution? Any insight would be appreciated. Thank you.

Hi All
We currently have both an adult and pediatric hospital. Digoxin is considered high alert (both oral and IV) for our pediatric patients but it appears that our practice is out of date. Our digoxin order set is not used and needs updating, but I am curious if digoxin is considered a high alert medication for pediatric patients at your institution and if so what are the strategies that are used to help mitigate potential harm? I am looking for some strategies that other hospitals are using for digoxin in pediatric patients to help improve safety.
Thanks!
Lindsey

Looking for ideas on how patients’ discharge or transferred meds are removed from patient unit/patient bins, prior to the next patient arriving? Is this a nursing responsibility, pharmacy responsibility or shared responsibility at your institution? Any reminders used for this process?

Hi Everyone,

Wanted to ask if any of you have a safe and pharmaceutically appropriate way to dispense oral cyclosporine solution to inpatients. Apparently the oral solution is only available as a bulk bottle and only comes with a single syringe (which is not EnFit tubing compatible) and is the only oral syringe recommended by the manufacturer for administration.

Thank you! Alex

Do other facilities have a nursing protocol for basal rate titration of a PCA? Would appreciate any input as to why your facility does or does not allow this practice.

A couple of questions:
1) how often do you re-evaluate and recommend changes?
2) Is anyone willing to share their list, we are trying to expand ours step-wise?

Has your organization ever been cited for failure to perform First Dose education?
Do you monitor this metric, and if so, how do you do it?

We use Epic and do have a report built but it is noisy and aren't having much luck making positive improvement in compliance.
Thanks,
Stacie Ethington MSN, RN
Medication Safety Nurse Specialist