For any of the hospitals that converted to ENFit. What issues are you facing?
1. Are you having issues finding supplies?
2. Is your staff using the ENFit straws to draw up the medication or just drawing up directly into the syringe?
3. Are the straws used for each medication or do you save it for 24 hours?
4. Are you using the ENFit pouches to crush all medications or maybe just for HD medications?
5. Are you having issues where the connections are getting clogged more frequently?

Wondering who is using tamper resistant seals on oral liquid syringes? We prepare a lot of oral liquid doses for our pediatric patients and have historically used tamper resistant seals. New staff are saying they never used the seals at their previous institutions and questioning the practice, especially since we have a staffing shortage in peds. I consider using the seals as a best practice from a safety, product integrity, and diversion standpoint but interested in the practice at other institutions. Thank you for your thoughts and time.

Carol

We would like to know how you handle a patient that received Exparel(bupivacaine liposomal), went home and came back into the organization (ED, Ambulatory, Inpt) within 96 hours. Does your system alert them that the patient received Exparel within the last 96 hours?

We’d like to know how other organizations handle a patient that received Exparel, bupivacaine (liposomal), went home and came back into organization (ED, Ambulatory, Inpt) within 96 hours…does their system alert them that the patient received exparel within the last 96 hours?

We’d like to know how other organizations handle a patient that received Exparel (bupivacaine liposomal), went home and came back into organization (ED, Ambulatory, Inpt) within 96 hours…does their system alert them that the patient received exparel within the last 96 hours?

When you compound your chemotherapy preparations, do you account for overfill vs the final labeled volume?
1. Remove "estimated" volume of overfill.
2. Add "estimated" volume of overfill to the final volume on the label.
3. Pump bags to exact base fluid volume stated on the label.
4. Do not account for overfill in the final volume stated on the label.

For those impacted, how are you navigating the NS 10ml vial saline shortage? What alternatives are you offering to your nurses for med dilution on the floors while limiting safety risks? potential risks with the us of flushes(https://www.ismp.org/resources/it-really-saline. Interested in learning from others

Thanks!

Is topical tranexamic acid for oral/dental bleed, hemoptysis, or epistaxis used at your institution? If so, how is the medication supplied? Do you take any measures to prevent misadministration via intravenous route?

Good afternoon,
for those that may be impacted, how are you navigating the NS vial shortage? What alternatives are you offering to your nursing staff for med dilution on the floor while minimizing safety risks? Hoping to learn from others

Thanks

Tranexamic acid for topical use - oral/dental bleed, hemoptysis, epistaxis
Do you allow the use of topical tranexamic acid for these uses at your institution?
If so, how is the medication supplied? Where there measures taken to prevent erroneous intravenous administration?