MSOS Discussion Board

Electronic Kits

Joel W Daniel's picture

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We are in the process of transitioning several of our physical kits for immediate use outside of pharmacy (vial, appropriate IV fluid bag, adapter such as vial-2-bag or vial-mate, and label heat sealed within a bag) to electronic kits (several of you do this already). We will keep physical kits within our ADCs for several immediate use compounding needs, such as items that are continuous infusion (such as pressors).

Dissemination of Information from ISMP Alerts

Cicely Williams's picture

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Hello All,
Has anyone come up with innovative ways to funnel information from the biweekly ISMP Alerts to the pertinent bedside staff? At my organization, the administrative level participants of the Med Safety committee receive the alerts but the information isn't getting to the right staff members. Please share your struggles and successes.
Thanks,
Cicely Williams,PharmD

IV Push considerations using ICU Medical Plum 360 Pump

Julie Botsford's picture

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Our 8-hospital system recently switched from Alaris to ICU Plum 360 pumps. One of the features of this pump is the ability to attach syringes to line B and administer IV push medications via the pump. This can be a big nurse satisfier for drugs that require slow IV push times, but it requires thoughtful attention to detail and the development of strong policies/procedures and education. (Has anyone gone through this exercise? We would love to see your examples!!)

Labeling of medications in ORs

Saharish Nazar's picture

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In your organizations how do you ensure that a medication which is prepared in OR before a procedure is labelled with required elements. Are there any predesigned stickers? we often struggle with unlabeled medication containers that contain medications and are prepared right before procedures. Some of these containers in which medications are poured are sterilized and putting a sticker on it is not possible. I want like to learn how this is managed in your institutions.
Thank you

daily pharmacy metrics

Anjali Todd's picture

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Does anyone have pharmacy related metrics that are collected daily? In addition to various data collected over longer periods of time, we have a dashboard with 3 metrics that gets updated daily. We are looking to switch a couple of these out, but having a hard time identifying new metrics with easily reported data that can be pulled every day.

We currently report: missing med requests processed within allotted timeframe, no expired meds available for administration, and inpatient med histories completed by pharmacy technician.

Separation of DME and Medications from patient home med list

Mohamed Sarg's picture

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Good morning,

We had several incidents where staff will discontinue orders for Durable Medical Equipment (DME) when conducting medication reconciliation. We currently having them as part of patient home medications list.

Does anyone have similar experience with this? I am interested in learning what system changes you implemented to help address this issue?

Thanks in advance for all your help.

Sincerely,
Mohamed Sarg

Application of IDC for medications withdrawn from ADC in profiled mode

Serge Maltais's picture

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Do you require IDC for targeted high alert medications withdrawn from an ADC in profiled mode (not on override)? If yes would you please share some examples and at which steps of the medication use process it is applied or which fields are verified?

Alcohol containing beverages controlled by pharmacy

Norman Tomaka's picture

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Pharmacy departments continually avoided the control of alcohol beverages for good reasons! I am dealing with an institutional facility policy that allows a physician to "prescribe" an alcoholic beverage, E.g. 1 x 12 oz. commercially available beer to a short length of stay patient. Pharmacy monitors nutritional alcohol drug reactions but now the facility's contracted dietary vendor can not provide alcohol to patients per their policy and license. When length of stay is too short for detox, it may be required to provide patient alcohol.

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