Have you all had any reported concerns for Y-site administration of Zosyn + LR?

Our institution is looking to participate in the Leapfrog Hospital Survey. If your institution participates, we are looking for input on FTE/time requirements specific to the Medication Reconciliation Measure.

(1) How many charts do you audit?
30 are required, but do you budget for more in the event patients don’t meet criteria for the audit?

(2) How much time is required by the technician or pharmacist for each med history audit?

Hello all,

What precautions and reminders are present at your organization to ensure that medications are appropriately adjusted by pharmacy for renal insufficiency?

Good morning!
We recently found 2 errors on the newly released Broselow Tape 2025 v3 and wanted to share it so you all are aware and can determine next steps.

#1. Flumazenil dosing on one of the dosing tables towards the beginning of the card lists the dose as 0.1 mg/kg. (the dose should be 0.01 mg/kg).

#2. Vecuronium on one of the dosing tables towards the beginning of the card, for the "Pre-RSI" indication, lists the dose as 0.1 mg/mL (should be mg/kg).
- The Vec dose under the Post-RSI is correct right below it.

I'm looking to see if anyone has had errors in which Exparel is being given pre-op and then receiving a subsequent dose during the procedure or at closure. Specifically targeting patients who may have received the max 20mL (266mg) already, and then received a duplicate 20 mL plus standard bupivacaine.

If you have, what have you done to prevent subsequent errors? Do you have CDS alerts, etc in place or physical barriers? We are utilizing Epic and looking for input on better optimization. Thanks!

Curious if/what other institutions have for clinical decision support for nurses administering chemotherapy (for example, checklists for Roadmap checks, specific policies/procedures for chemotherapy independent from other medication administration policies, etc.). I'm involved in a Lean Six Sigma project trying to improve/lean how we "check" chemotherapy prior to administration and would love to hear how other places are doing it!

Thank you!

Our nursing education department is requesting expired code blue medications to stock their "mock code blue cart" for education purposes. I was wondering what other organizations do as this could be a safety and regulatory concern if by chance these medications end up in circulation. Any best practices out there? Does any one give out expired medications to nursing education and have a solid SOP or policy? Do you use "demo" medications. Thanks in advance for any feedback.

Hello! I'm hoping get member feedback regarding how your facilities are procuring and storing large volume potassium containing solutions (D5NS with 20 KCL 1000 mL, etc.).

1) Does pharmacy procure and stock these products or does your facility allow central supply to purchase and stock?
2) If pharmacy procures these products, are they stored in the ADCs on the units or are alternate storage methods allowed (open bins in med rooms, etc.)?

I appreciate your input!

Do you allow storage of anesthetic gas (e.g., sevoflurane) within an ADC in the OR. If you allow storage in an ADC, how do you handle partially used bottles?

Do you allow anesthesia to return partially used containers into the ADC? If returned to ADC, are you considering them as multi-dose containers?

Thanks!

Hello,
can other facilities share their meropenem extended infusion practice (2gm doses extended infusion specifically)
* what diluent
*volume of diluent
*BUD placed

we are having confusion on what concentration and BUD to adopt and curious on other hospital practices