Hello,
For folks who use the Grifols Dosi-Fuser portable elastomeric infusion pump, I'm curious if anyone is experiencing quality issues.

Since late August, we have had #59 reported over- and under-infusion events. These are occuring mostly with fluorouracil. Our patient selection, staff, dosing, volumes, etc are all unchanged. The only potential cause we can identify is that the manufacturer had a change in sensor production mid-August.

Our facility has supplied acetaminophen & ibuprofen to units as "floor stock" since before I came here 5 years ago. I don't think this is safe, anyone have any evidence or opinion on this issue? Per our Medical policy I believe they should go through Employee Health.

We do not currently have a policy that states a nurse must accompany a patient to Diagnostic Imaging or a Procedural area if they received a dose of IV benzodiazepine for anxiety. We are considering the need for one.

What do you have in place at your institution?

Thank you,

Erica

Hi Everyone,
Wanted to see if any of you have good workflow processes (including EMR configurations) to ensure that any patient who receives an SGLT2 inhibitor inpatient does not receive this medication as their condition may change, like becoming NPO, unplanned procedure, abnormal labs, etc.. Are you storing this medication in your ADC and relying on your nurses to hold if needed, or are your pharmacists actively involved in a daily review or other strategies?
Really appreciate any insights, and hearing what may work well at your respective hospitals.
Thank you! Alex

Hi everyone,

I’m looking for insight into how other institutions manage patients who are admitted with their own insulin pumps (devices). Specifically, I’m interested in learning more about the pharmacy’s role in verifying and documenting what is currently in the pump (type of insulin, concentration, reservoir amount, etc.).

At our facility, this has been a recurring challenge—especially when confirming the insulin type and ensuring accuracy in the EHR medication list. I’d love to hear:

Hi all, 

Can you share whether your site has implemented either of the following in your automated dispensing cabinets? If so, I’d appreciate it if you could share any pros and cons.

Thanks,
Casey

1.) A second witness requirement for the removal of certain medications (e.g., neuromuscular blockers) by caregivers?

2.) A five-character minimum when searching for a medication?

Hello,
We are a multi-site health system that has previously had different smart infusion pump builds. As we bring everyone live on a standard library we are looking to standardize clinical advisories. There are character limit challenges with pump vendors and I am curious how others have solved for this, specifically:

1. Do you abbreviate independent double check? If so, how? IDC? 2 RN check? other?
2. What criteria do you use to determine if there should be a clinical advisory?

We have had a handful of cases recently reported by our Cardiology teams where ACT levels were not becoming elevated as expected after heparin administration. We have seen 5 reported cases in the last 3 months via our reporting system, however, a couple of reports noted that this situation has happened to them multiple times over the last few months.

The product is Meitheal 10,000 units/10mL mulit-dose vials. The lot number primarily involved is AGC611P. There was one report involving the same brand but with the lot #A6C2412P.

Hi All, We have central line insertion kits that contain lidocaine. Sometimes this is used for the line insertion, other times lidocaine is obtained from our ADC. In order to know the patient received lidocaine this has to be documented in the chart as a med order. This would allow for accurate med list, CDS, and compliance with DSCSA. We are able to provide an orderable in the EHR to be selected so the lidocaine can be documented on.

1. Are you documenting lidocaine use for central line insertion?
2. Who is documenting - Nurse or Provider?

Hello everyone,

Our facility continues to get occasional reports of lines being swapped on the pump, despite having appropriate scanning functionality and interoperability in place. While we do require our nurses to trace lines, sometimes this step is overlooked.

Just thought I'd ask around - does anyone have any creative ideas to tackle this issue? We repeatedly educate and send reminders and emphasize scanning, interoperability, and line tracing, but we continue see issues trickle through...

Thanks!
-Saduf