We are building a new library for our conversion from an end of life Baxter to BBraun Infusomat and I'd like some tips about the use of categories.

Hello,

Anyone using DoseTrac and able to obtain data on hard limit alerts?

BBraun tells us it's not possible since in these instances we had to get out of the library to be able to program the pump.

We are new users of this software and find it hard to believe there is no way to get stats on this.

Thanks.

Serge

Like many institutions, our ED is autoverified. We do limit some orders through a "never autoverify" med list. The question has been raised about benefit of the orders still being autoverified to prevent a delay in administration, but having more orders in the pharmacist queue to review the autoverification. Looking to solicit feedback if anyone utilizes a hybrid approach such as this and how it was received.

Our EHR is Epic.

Thank you!
John Morgan

1. How does your institution handle teaching/transitions of care for patients being discharged on insulin pens? For example:

a. Are insulin pens available in the hospital pharmacy for teaching prior to discharge?
b. Are insulin demo pens available in the hospital for teaching prior to discharge?
c. Are insulin pens procured from outpatient/retail pharmacy (brown-bagged) for teaching prior to discharge?
d. Other (please explain)
e. None of the above

RE: Best practice 20, would greatly appreciate lessons learned from folks that have transitioned to primarily premixed Tranexamic acid bags in their peri-operative spaces.

Specifically, did you encounter any challenges related to tranexamic acid topical use? Did you leave vials available in a restricted manner? Any other helpful tips.

Thanks,
Paul

Hi,

We have a few questions regarding airway carts and neuromuscular blocker storage.
1. Does your organization have airway carts in perioperative areas?
2. Do your organization's airway carts contain medication, specifically neuromuscular blockers (NMB)?
3. If your airway carts contain NMB, how are they stored and monitored?

Thank you!
Gabriella Philipson, PharmD

Good morning,

I wanted to query if your state allows technicians to access the prescription monitoring system for controlled substances. Would you be able to provide the below details?
- Does your state allow techs to access the PMP? if so, which state are you located?
- Do they have additional credential requirements/training required before they can get access?
- Do they have a limited access/view or can they view everything?
- Are you able to have this integrated into the EMR for them?

We have a request to place all anticoagulant IV medications in a red bag in order to identify them more easily on the nursing side.

I have logistical concerns and general concerns with this process (relying on a manual process and color coding). Has anyone here used this type of process for anticoagulants? What have you seen work on the nursing side to more easily identify anticoagulants?

Hello,
We are preparing for a Joint Commission visit and working on USP <797> compliance in ORs/procedural areas. We are hoping you would be willing to share information about your sterile product practices in these areas and any recent experience with TJC surveyors on this topic.
- Do you consider preparing sterile products in ORs/procedural areas (Examples: drawing up a dose from a vial, drawing propofol into a syringe, etc.) to be immediate-use compounding or per approved labeling?

How do you safeguard against wrong route med administration errors in the OR for topical meds. Specifically thinking of thrombin, but interested in other topical medications as well if you have strategies in place.

Thank you!

Sloane Hoefer
Nebraska Medicine