Good afternoon everyone,

I had a few questions for those of you who have patients on CBD (OTC cannabidiol products like Charlotte’s web) at your hospital.

1. Do you allow OTC CBD products to be used inpatient (as patient’s own med)?
2. If so, what is your process/workflow for these products?
3. Do you have a policy? If so, can you share?

Thank you so much!

We occasionally receive requests to make additions to our override lists. These requests usually come through email, but we are seeking to establish a more formalized process. Does anyone have a request form that they currently use and are willing to share?

Thanks in advance!

I am looking into safe practices surrounding the use of methylergonovine for the treatment of PPH. In my experience this can commonly be found in PPH "kits" or "carts" that can be in or out of automated dispensing cabinets. I am looking for feedback on a few different questions:

Hello everyone!

Question about your lantus VIAL procedures (not pens). For some background, our facility makes ALL lantus doses in the IV room, it is not floor stock (Lispro however IS floor stock, but not in pyxis). Timing the lantus dose correctly with a discontinued insulin drip has occasionally been an issue. And although many ICU RNs know to wait for the lantus to DC the drip, there are delays in getting the lantus to the floor and also if the drip gets DC'd while RN is still waiting, there's no entry in the MAR for the RN to document the drip while waiting.

We performed an upgrade to our EHR last week, and it removed our ability to customize individual alerts. It is apparently the result of FDB moving to a cloud based format. Our EHR vendor says we are the only customer that has customized alerts. I just have a hard time believing that.

Hello!

What do you use for your bolus dose of magnesium for OB patients? If you use mag riders (and do not bolus from the maintenance infusion) for your bolus dose, is a dual nursing sign off required?

Thank you for your help!
April

Hello everyone!

My hospital will be converting soon from Alaris pumps to ICU medical pumps and we will no longer be allowing bolus from bag for propofol for our adult patients. Our system pharmacists as well as a couple of other affiliates decided it wasn't necessary as there is no good literature that supports use of propofol bolus and they are emphasizing using drip titration instead.

Good afternoon,

Please share the event reporting system vendor that you use at your facility. We currently use RL Solutions but we are looking at other opportunities.
TIA!

Hi,
We are an EPIC system, with Alaris pumps. We're trying to come up with a good way for nurses to know to drop the amiodarone dose from 1 mg/min to 0.5 mg/min after 6 hours. Often the infusion nis started in the ED, so the patient may be on a different shift on a different unit by the time it's time to turn down the rate.

Have any of you solved this problem?

Thank you.

Hello,

My institution is currently looking at configurations for Omnicell and we are seeking feedback from users of the Omnicell Controlled Substance Dispenser XT Version.

If you have them: Do you use them for all stations? Procedural vs inpatient?
Pros/Cons to use?

I appreciate any info you can share!

Feel free to reach out to me here or via email: Janine.Smentkowski@pennmedicine.upenn.edu