Hi all,

While reviewing our BCMA compliance rates, clinician-initiated (additional) boluses for our PCA syringes (morphine, hydromorphone) are one of our highest non-compliant medications. The syringes are scanned when initially hung or changed.

The reasons are very understandable - the syringes are locked into the syringe module in Alaris, the barcode inaccessible due to how the syringe was loaded, or even if the barcode is visible, the plastic of the case is difficult to scan through.

Has any institution been successful in getting their peds NICU to use large volume Heparin infusion premix bags? We use a standard concentration of 50 units per mL, and 100 units per mL but draw up from premixes into 50mL IV syringes for our NICU. Are you on IV pump interoperability and did that sway your decision to make the change? Thanks!

Hi all
We are hoping to implement Epic-Alaris interoperability in the next year. We are looking for a few numbers to help us determine the necessary resources.

~ how many hours needed for end-user RN training
~ how many hours needed for informatics pharmacist maintaining interoperability (post-go live)

If you'd be willing to share your project plan/scope etc that would be greatly appreciated.

Thanks
Lindsey

We are standardizing our medication allergy entry process in the EMR and would appreciate learning how your organizations handle this.

Current state at our site:
•Significant duplication (same agent documented as drug, class, and nicknames)
•Frequent use of “Other” for existing defaults
•No reaction documented
•No mandatory fields

Our Labor and Delivery department is requesting nitroglycerin injection to use for uterine relaxation in the setting of obstetric emergencies like uterine inversion.

I am hesitant to stock the 50 mg/250 ml (200 mcg/ml) NTG bottle. The obstetric IV push dose is only around 50 mcg/0.25 ml, which is 0.1% of the 250-ml bottle. Errors involving mg vs. mcg mix-ups or decimal place errors are certainly possible, especially considering the infrequent use of this medication.

What are other hospitals doing?

Hello,
We are re-evaluating vancomycin concentration and administration rates for the 1.5g dose. Please share your current build detail.
1) What mL bag size is used?
2) What admin duration is used for 1.5g dose?
Thanks in advance for sharing your practices and recommendations.

Good morning,

Are you aware of any current or recent requests to the Board of Pharmacy Specialties (BPS) to consider development of a medication safety specialty? If such a specialty were available, would you be interested in pursuing board certification?

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HI all

I am curious if any systems/hospitals are using the MAR for tube feed orders, and if so are you requiring bar code scanning for them?

Thank you.

Hello,
Was wondering if anyone has implemented CGM use as a monitoring tool to help with nocturnal hypoglycemia in an inpatient setting.