What is the policy or clinical practice for the management of patients experiencing rigors/chills as a manifestation of a hypersensitivity reaction to treatment involving anti-CD20 directed treatment (ie. rituximab, obinutuzumab)?

Good Morning All,

Currently our smart pump drug library entry for parenteral nutrition is built with an infusion rate soft max. We have a request to modify the entry to include a hard max. I'm curious if others have built their parenteral nutrition entries with a hard max and what that limit is. Does that hard max differ for central vs. peripheral administration?

Thanks in advance!

Dear Colleagues

I hope this message find you all well , i'm exploring best practice for documenting medication removal and administration in the operating room

our current practice , there is pyxis (non profile) there and they remove the medications by patient and there is no order in the HIS

Im looking to learn how other institutions adress this issue

your input would be invaluable in helping us improve our practice and patient safety outcones

thank you

I am working with an academic based research group that is looking at both alerts and alarms on IV Smart Pumps. We have reviewed data from a large number of pumps to try and quantify both alarms and alerts. Our group, which consists of pharmacists and nurses is now identifying pharmacists that manage smart pump library settings within their institutions to conduct 50 minute interviews. We are looking for a variety of sites and pump types to learn about.

Good morning,

Hello,

I am curious how you handle rectal administration using ENFit syringes.

We are struggling with our diazepam for rectal administration.

Do you use Diastat?

If you don't mind please share your process for safe use.

Thank you!

Protamine administration is recommended in undiluted form, not to exceed 50mg dose over 10 minutes of slow IV push injection.

How does your institution administer protamine doses over 25mg that would need to be given over > 5minutes? Do you utilize a syringe pump or administer it by hand?

We do not stock syringe pumps on units, and they are supplied by materials management when requested. This poses an issue since protamine would be needed urgently and there may not be time to get a syringe pump.

We have had a few significant errors with dispensing patient-specific medications from Omnicell CSM (Controlled Substance Manager), where the incorrect LASA drug was selected.

Dear All,

At our Hospital, we are in the process of developing a policy for Continuous peripheral nerve Block Catheter (CPNBC) administration and would greatly value your input on the following:

-Does your institution have a policy or guideline for Continuous Peripheral Nerve Block (CPNB)? If so, would you be able to share it?

We often get patients from other hospitals on IV drips like heparin, nitroglycerin, dopamine, etc. and I'm curious what your procedure and timeline is to confirm rates, concentrations and whether you switch out the bags immediately to your hospital's product when they arrive.