Hello all,

I just wanted to reach out to those institutions that have HIET protocols and use a more concentrated insulin infusion concentration (e.g., 10 units/mL) for those patients, and ask what safety measures do you have in place to help minimize the opportunity for errors with regards to the standard 1 unit/mL concentration in your hospitals.

Looking forward to any feedback.

Thanks
Jameika Stuckey
Univ of Mississippi Med Ctr

BD has released a software upgrade for their Alaris smart pumps under a certificate of medical necessity program to address previous recall issues. The upgrade also provides some clinical and security benefits, but is not yet FDA approved. We are interested in identifying organizations that are planning to implement the upgrade prior to it being FDA approved.

Sondra May, PharmD
Medication Safety Coordinator

Our ED provider group has concerns about delays in compounding of patient-specific weight-based levetiracetam for status epilepticus as it comes from our pediatric pharmacy satellite or from our central pharmacy (during limited hours on the weekends).

We have a technician that spends many hours preparing thousands of batched oral syringes each month of OTC items for our pediatric patients: Poly-Vi-Sol 0.25 mL, ferrous sulfate 0.3 mL, Vit D 1mL, and simethicone 0.6 mL. Since the syringe size is so small, there is no way to automate the process with a syringe filling pump or autowrapping label machine. Everything must be done by hand. I support drawing up exact doses of most pediatric oral liquids, but I would like to draw the line at OTCs.

Has anyone switched to tenecteplase as your primary thrombolytic agent for acute ischemic stroke? If so, did you take any steps to address the fact that there is a prominent dosing table on the inside of the box for myocardial infarction? See https://www.tnkase.com/dosing-and-administration/dosing-guidelines.html

Hi all,

We are an Epic based system and only have Beacon in our outpatient infusion side currently (not inpatient). I was wondering if anyone could share any safety improvements for using Beacon on outpatient infusion side. Specifically:

1. How do you document or keep track of interventions, changes to regimens, or pertinent discussions with MDs? iVents don't work as well in this setting because these orders aren't released yet and each time is a different encounter so it requires a lot of digging..

Hello All,

Our hospital has always used an extensive formulary and non-formulary approval process in the past and current. This has resulted in an extraordinarily large selection of medications available for choosing from.

We are moving towards starting an Auto-Sub policy in the hops to improve our inventory management (pyxis space and batch fills)

Would anyone on this discussion board be willing to share their auto sub policy?

Thank You

Hi! Has anyone had experience using the EpiRite syringe as a safety strategy with epinephrine for anaphylaxis? If so, were there any issues with the Luer-tip and attaching the IM needle?

We have also been reviewing the Epinephrine Convenience Kit that comes with a Broselow/color zone syringe & pre-attached needle.

Any information would be appreciated.

Thank you,
Tanya John, PharmD,
Med Safety Coordinator
Mass General Hospital

Does anyone have a great catch program they would be willing to share the details of? Criteria, eligibility, award, etc.? Who all did you include in blessing the program at inception?

Thank you!!

Gina Gayed, PharmD, BCPS, CPPS
Medication Safety Officer
Wellstar Health System
Marietta, GA

Hello, can anyone share protocol information for nicardipine or esmolol IV administration? Specifically, I am looking for maximum dosing in an institutional setting. Much appreciated?