We are re-evaluating options for continuous fentanyl infusions. Would you mind sharing your preferred fentanyl concentration in ICU ventilated patients? How do you deliver the fentanyl infusion, e.g. PcA pump, LVP pump, other? Thank you for sharing!

What does everyone have in place for PCA risk mitigation strategies. We currently use Alaris PCA pumps which utilize a typical luer lock syringe along with Epic as our EMR. We recently had an event involving PCAs and are looking to see what other institutions do. We utilize the double check function in Epic but in this situation the nurse did not know what a PCA is and thus was unaware of the double check requirement and since it is a luer lock was able to connect the PCA syringe to the patient's IV line.

Hello, we are interested in how different facilities handle 5% sodium chloride bags used during LDL apheresis from a medication safety standpoint. We recently became aware these were being stocked in our Cath lab when they went on backorder and are wondering what strategies others have put in place to prevent mix-ups with isotonic saline or other fluid infusion bags.

Thank you!
Lauren Gashlin

Strong Memorial Hospital
Rochester, NY

Good morning colleagues and friends,

We are anticipating TJC in the next few weeks and I was wondering if anyone already had their triannual TJC visit recently. I am interested in learning about what were the surveyors focus points during their visits.

Thank you in advance for all your help.

Sincerely,
Mohamed Sarg

Good morning colleagues and friends,

We are anticipating TJC in the next few weeks and I was wondering if anyone already had their triannual TJC visit recently. I am interested in learning about what were the surveyors focus points during their visits.

Thank you in advance for all your help.

Sincerely,
Mohamed Sarg

We are in the building phase looking to implement Epic's Heparin Calculator.

We are being challenged with how to order a restart of a Heparin infusion that is not starting back at the initial starting rate based on the protocol. Clinical scenario examples are a heparin infusion discontinued for surgery or a patient transferred from a different hospital already therapeutic on a heparin infusion.

Anyone who has been using this calculator have any other insights or lessons learned before our go-live?

Thank you!

Hello everyone,

As a large health system, we are looking for insight on your current structure of medication safety metric reporting.

1) Who reports out your medication safety metrics?
2) What medication safety metrics are reported?
3) Which stakeholders are receiving this report (i.e. P&T, Quality/Safety)?
4) At what frequency are they informed (i.e. monthly, quarterly)?

Thank you!

Lena DeVietro, PharmD, BCPS
PGY-2 Pharmacy Resident - Medication Use Safety and Policy
Department of Pharmacy | Yale New Haven Hospital

Good morning -
My health system is evaluating the possibility of using external assistance with smart pump data analytics. Currently we do our own analysis using the detailed reports provided by the Alaris Knowledge Portal.
We have already met with Bainbridge Health. Is anyone aware of other companies providing this service?
Thanks,
Liz

Know any good PGY2 residency candidates?

The Yale New Haven Hospital PGY2 Medication Use Safety and Policy residency program is hosting an informational session on Wednesday, Dec 15, 2021 5-6:30pm. Join us to learn more about the program.

Follow this link to register: https://bit.ly/3GBju70

Hello All,

Has anyone had an issue with the water reservoir from Optiflow device not filling-up as well with the 2L sterile water bag vs 1L ? We use Fisher & Paykel cups.

One of our inhalotherapists reports that the cups are often almost empty when arriving in the patient room.

Thanks!

Serge Maltais
Medication safety project manager
Centre intégré universitaire de santé et services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke
Québec, Canada