We are looking for a national benchmark for insulin harms on the inpatient population. Looking at severe hypoglycemia after administration of any insulin is a great metric put forward from the HIIN collaborative. However, with the quick changing patient mix toward the beginning of the year we quickly changed to harms/100,000 discharges which actually was a bit stable and conforms quite well to a control chart.

Either way, finding a benchmark of any type of metric would be desirable so we can continue to look at goal-setting.

For patients with scheduled PET scan, we generally avoid Dextrose containing meds, including any IV with D5W as the diluent 12 hours prior.

This is a challenge in the inpatient setting.

I'm wondering what system/workflow you have at your institution to ensure that patients scheduled for PET scan would not receive any D5W.

Is pharmacy or nursing involved in screening for patients scheduled for PET scan? and screening/switching IV drug diluents?

Thank you so much!

Does anyone have benchmarking goals for ADC Overrides in different patient care areas? Our organization consistently has total overrides for the organization < 0.75% (excluding ED). Our parent organization expects to see < 2% for the facility (excluding ED), but we don't have any expectation on the unit level.

Hello all,

Hello

I have had a question about the vitamin K IV drug monograph as the drug is listed as the generic name phytonadione. During an urgent situation the nurses were unable to find the monograph as Vitamin K as it was listed as the generic name. Wondering if anyone has encountered this issue? From another perspective the pharmacist responsible is hesitant to do anything with this as it may open "a can or worms" for other vitamins (Vitamin B, D). Any tips or suggestions.

Hi All,

Any suggestions on how to differentiate EPINEPHrine, Phenylephrine, and EPHEDrine vials in the OR?

We try to use pre-made, ready-to-use syringes from a 503b when possible, but due to supply issues, anesthesia still would like to have these items supplied as VIALS in the OR "just in case." We have Anesthesia PYXIS machines and try to leverage mini-drawers when possible, but some of our larger facilities that do more complex surgeries need those mini-drawers for controlled substance medications.

Would welcome all input!

-Jennifer

Hello,

Hello,

How does your handle what items can be co-infused with TPN and lipids considering the limited availability in Trissel's?

Thanks in advance!

Randi

At our institution acetaminophen is most often given for (1) Fever >/=38.5 (2) Pain scores of 1-3 (3) Pain prn adjuvant to pharm and non-pharm interventions. There has been concerns with having 3 separate active prn orders on our patient’s profile due to potential for duplicate therapy (giving too soon or exceeding max daily dose). For those with multiple active orders for the same medication with different indications, have you addressed this with alerts or what additional strategies can be considered? Thank you in advance.