We are rolling out our EPIC Ambulatory MAR and wondering what other institutions have done with nursing dual sign offs?

Our clinic ambulatory MAR (for the most part) currently uses all of the “inpatient” medication configuration settings. Curious to see what other institutions have done with their implementation. Thanks!

Jenni Shahan, PharmD, BCPPS
Medication Safety Specialist
WVUMedicine

Hi there - what are other institutions doing to prevent IP Alteplase being given IV? Giving ONLY in non-luer lock syringes? Utilizing other types of syringes? Thanks Much appreciated

Dyan Fleming
Oklahoma Children's Hospital

I wanted to re-address this question since it has been a few years since it was last asked. What container does your Pharmacy dispense unit-dose nebulizer medications in if not available commercially in unit dose? Looking through past questions it seems some of us have utilized containers such as sterile eye drop bottles and slip tip syringes. 60 mL Aerogen syringe specifically says 'for continuous nebulization' on it so thinking that is not an option? Wondering if there are any other solutions out there. Thanks in advance for your expertise!

Now that it is generic, we are struggling to get prasugrel in unit-dose form and the bottles state "keep and dispense only in original container". Have struggled with a response from company so I was wondering how everyone is handling this.

thanks in advance!

Hello
in my institute for multi-dose container management we intended one bottle for specifically syrup for one patient e.g. DUPHALAC syrup every patient had one bottle, and not share one bottle for all patient (as recommendation from IPC Department) IT IS OK.
your advice appreciated in this issue
thank you

Hello,

In addition to dedicated pump and dedicated tubing, I am curious if any institutions have implemented other safety strategies for infusion and handling of epidural and oxytocin drips (eg. placement on opposite sides of the patient beds)?

We currently use the yellow CADD pumps with a lock box and infuse through with the yellow striped tubing.

Thank you,
Sonia Leon, PharmD, BCPS
Medication Safety Pharmacist

Does anyone have a policy they can share on the administration of IV Potassium Chloride to patients in asystole? We are considering one to spell out situations when a specifically trained intensivists may administer it as clinically indicated. Thank you in advance. -Melody Sun, CHOC Children's

If you have implemented IV pump and EHR integration, can you share any metrics that you measured to show improvement with use of integration?

We were discussing a few topics:
-improved I&O documentation especially with Sepsis patients
-decrease in reprogramming attempts by the nurse compared to pre go live practices
-incorrect programming compared to the Epic order (event reports)

(our pumps are the Plum 360 pumps from ICU medical and we use Epic)

TIA for your feedback:)

Here at Nicklaus Children's Hospital we are in the research phase of creating an antivenin pathway and PowerPlan. Do any other hospitals have a pathway that they have developed and are willing to share?

Thank you!

Kristen Post
Medication Safety Officer
Kristen.post@nicklaushealth.org

We are investigating if we can switch over our Epoprostenol and Treprostinil infusions from CADD Legacy 1 pumps to Baxter Spectrum IQ smart pumps. Has anyone done this and are you rounding rates per hour to the nearest tenths place?