Medication Safety Officers Society
4041 Members Strong A society of healthcare professionals dedicated to improving medication safety in healthcare organizations
Hello,
Our facility has been able to update the Omnicell with the 5 letter character limit recommended by ISMP. We have sinced changed it to 4 letters due to some entries and the inability to change them. We also implemented this change on the anesthesia work stations? Has anyone else? What has been the response from anesthesia?
Thank you,
Jen
1. Do you have HUMATE-P built into your drug library? If yes, how? Is it built as an IVPB or syringe?
2. What is your process for nursing administration of HUMATE-P and other factors?
UpToDate references bactrim components as "trimethoprim-sulfamethoxazole", while the packaging on the products themselves are labeled as "sulfamethoxazole-trimethoprim". As the dose is based on the trimethoprim component, does anyone list trimethoprim first in their electronic health record? We can see why there are discrepancies/confusion between resources.
Thank-you, Heather Dell'Orfano
Brigham and Women's Hospital, Boston
We've had some debate recently about the best way to enter medication patch orders when multiple patches are required to make a dose (ex: fentanyl 12 mcg + 25 mcg to make 37 mcg). Does your institution prefer one order to account for all patches or separate orders for each patch? What is the rationale?
There are definitely pros and cons to each approach, but I can't seem to find that one is preferred over the other in the literature. Thanks for the help!
Are any other organizations administering cerliponase alfa (Brineura) and if so, can you provide details around your pump configurations (specifically, pressure settings)? Anyone using/exploring use of an Alaris pump?
We currently allow selective autoverification in our Emergency Department (Cerner). We have additional opportunity to move towards an even more selective application of this process. We want to formalize and expand our criteria that would automatically exclude an order from autoverification. Per ASHP's Autoverification Toolkit, examples for consideration include pediatric orders, allergies, DDI, high-alert meds, and verbal orders.
Does anyone have an autoverify policy and/or list of meds/classes that are ineligible for autoverification that you can share?
Hello,
I was looking to see if anyone has any benchmark in place to limit the use of manual scan rates. Our EHR accepts the rx number as a manual scan rate but this is a safety issue as it does not verify the correct drug via NDC. When looking at scan rates for nursing most have very low manual rates but there are a handful of nurses with a much higher percent of manual scan rates. Our combined manual and scan goal is for the nurses to be 98%
Thanks,
Nancy