Good morning,

We had several incidents where staff will discontinue orders for Durable Medical Equipment (DME) when conducting medication reconciliation. We currently having them as part of patient home medications list.

Does anyone have similar experience with this? I am interested in learning what system changes you implemented to help address this issue?

Thanks in advance for all your help.

Sincerely,
Mohamed Sarg

Do you require IDC for targeted high alert medications withdrawn from an ADC in profiled mode (not on override)? If yes would you please share some examples and at which steps of the medication use process it is applied or which fields are verified?

Pharmacy departments continually avoided the control of alcohol beverages for good reasons! I am dealing with an institutional facility policy that allows a physician to "prescribe" an alcoholic beverage, E.g. 1 x 12 oz. commercially available beer to a short length of stay patient. Pharmacy monitors nutritional alcohol drug reactions but now the facility's contracted dietary vendor can not provide alcohol to patients per their policy and license. When length of stay is too short for detox, it may be required to provide patient alcohol.

Hi Everyone,

Our IV specialist and I are currently working on finding a way to dispense topical traneaxamic acid (which we use for hip and knee replacements) in a way to avoid wrong-route errors. We were thinking about irrigation bottles, but there are concerns regarding the sterility of the product since we would have to open the bottle to remove some of the NS and add the TXA.
How does your institution dispense topical TXA? Any suggestion on how we can dispense this medication more intuitively as to route?

Thank you! Alex

We are an HFAP accredited institution. For the medication reconciliation standard (25.02.03)how does your facility interpret "EMERGENCY DEPARTMENT: A complete list of current medications is to be obtained for Emergency Department patients." Are getting a complete list (name, dose, frequency, etc...) for all ED patients, even those who are for sure NOT being admitted? We are embarking on a process improvement project at my organization re: medication histories and looking to see how others define this. This also applies to radiology outpatients presenting for CTs, etc...

Hello,
Does anyone have any standards for the # of admit med histories completed per hour? I realize this could vary greatly depending on training, comorbidities, # of meds, etc. I was looking for a ball park figure. Thanks.

What is the length of time that nursing staff are able to access charts on previous patients to complete or correct documentation at other facilities? Our current policy is 72 hours but this makes it difficult for nurses to correct documentation in a timely manner. Interested in what other facilities allow. Thanks!

What is the length of time that nursing staff are able to access charts on previous patients to complete or correct documentation at other facilities? Our current policy is 72 hours but this makes it difficult for nurses to correct documentation in a timely manner. Interested in what other facilities allow. Thanks!

In Minnesota there is a BOP rule that certain drugs require stage checking (verify ingredient and amount before injecting) in the sterile product prep. This is a new rule to me coming from out of state. Does anyone have experience with this, and what do you use to determine what requires stage checking.
Thanks!
Merissa

I wanted to see what other sites have in place for pharmacy oversight of Epic's one step med builds. Is there a committee that reviews requests? Do you have a set list of rules of what can be built as a one step med?
Thanks-

Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine