Hi Everyone,

Our IV specialist and I are currently working on finding a way to dispense topical traneaxamic acid (which we use for hip and knee replacements) in a way to avoid wrong-route errors. We were thinking about irrigation bottles, but there are concerns regarding the sterility of the product since we would have to open the bottle to remove some of the NS and add the TXA.
How does your institution dispense topical TXA? Any suggestion on how we can dispense this medication more intuitively as to route?

Thank you! Alex

We are an HFAP accredited institution. For the medication reconciliation standard (25.02.03)how does your facility interpret "EMERGENCY DEPARTMENT: A complete list of current medications is to be obtained for Emergency Department patients." Are getting a complete list (name, dose, frequency, etc...) for all ED patients, even those who are for sure NOT being admitted? We are embarking on a process improvement project at my organization re: medication histories and looking to see how others define this. This also applies to radiology outpatients presenting for CTs, etc...

Hello,
Does anyone have any standards for the # of admit med histories completed per hour? I realize this could vary greatly depending on training, comorbidities, # of meds, etc. I was looking for a ball park figure. Thanks.

What is the length of time that nursing staff are able to access charts on previous patients to complete or correct documentation at other facilities? Our current policy is 72 hours but this makes it difficult for nurses to correct documentation in a timely manner. Interested in what other facilities allow. Thanks!

What is the length of time that nursing staff are able to access charts on previous patients to complete or correct documentation at other facilities? Our current policy is 72 hours but this makes it difficult for nurses to correct documentation in a timely manner. Interested in what other facilities allow. Thanks!

In Minnesota there is a BOP rule that certain drugs require stage checking (verify ingredient and amount before injecting) in the sterile product prep. This is a new rule to me coming from out of state. Does anyone have experience with this, and what do you use to determine what requires stage checking.
Thanks!
Merissa

I wanted to see what other sites have in place for pharmacy oversight of Epic's one step med builds. Is there a committee that reviews requests? Do you have a set list of rules of what can be built as a one step med?
Thanks-

Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Hi,
I would like to hear from sites that have restricted Fentanyl IV Push (IVP) to ER/ICUs/Surgery/Procedural areas. Basically do not allow the usage on MedSurg type of patient care units.

If you have limited Fentanyl IVP to certain units, would you mind sharing what criteria or literature was used to implement that process? We are looking to do the same but would appreciate any guidance or information to steer in the right direction.

Thank you in advance,
Pratixa Patel

Due to delays with IV preparation and delivery to Cardiac Surgery, we are looking at potentially stocking KCentra in Cardiac Surgery Pyxis maching. Is anyone else doing this or considering this possiblity. I am looking for feedback on success and barriers with this approach.

Thanks,
Victor
540-588-7986

Hi,

We are in the process of reviewing our downtime workflows for automated dispensing cabinets (ADCs) and are seeking input around how other organizations are managing medication dispensing and override access during periods when the ADCs are functional, but are not receiving updates from the EHR (e.g., interface down, EHR downtime, etc).