We recently implemented Omnicell IVX workflow at our site. I would like to create a QA plan with some of the data Omnicell can provide. My question: Has anyone done this already at a site? If so, are you will to share? :)

I have some ideas around a focus on verification summaries and near miss data. Ready, set, go!

Has anyone else been experiencing significantly decreased heparin flush availability (all sizes/concentrations)?

We are investigating more and exploring options.

While ASHP has a great resource, I am curious to learn what other strategies are being used/discussed and if compounding is occurring.

https://www.ashp.org/-/media/assets/drug-shortages/docs/drug-shortages-a...

Thanks!

We are looking into changing our enteral pumps. Our NICU uses the ABC pump and PICU/Ped use the medfusion pump. We also use medfusion pump for IV syringe medications. We are in the process of differentiating an enteral feed medfusion pump vs IV med medfusion pump by using an orange faceplate sticker for the enteral pumps. Administration is still concerned that a nurse can administer an IV med using dose/time and would like to use pumps from different manufacturers.
What pumps do you use for enteral feeds and IV syringe medications?

Hello, does your institution store lorazepam intensol in lock boxes in the refrigerator, or is it stored in the refrigerator with dividers to segregate from other medications on the shelf?

Hi, we are reaching out to gather insights from others on how your organization documents and communicates alternative dosing weights, such as ideal body weight (IBW), adjusted body weight (ABW), and any other variations used for medication dosing.

Specifically:

The physicians on our ICU Committee would like to be able to order a vasopressin infusion (50 units/50 mL) to be administered peripherally in circumstances where a pressor is needed for (assumed) very short-term use. We are having difficulty finding any literature support for this practice. I was wondering if this practice is in place at other institutions, and if so, are there rate and/or time restrictions involved.

Hello everyone,

I would love to know what other facilities have in place for administering lipid resuscitation therapy for LAST.

At my facility, we have a panel built for a bolus of 1.5 mL/kg/dose followed by an infusion of 0.25-0.5 mL/kg/min.

However, if you calculate the dose for a 65kg patient, the rates are as follows for a 20% lipid solution:
- Bolus ends up being 5850 mL/hr
- infusion ends up being 0-1950 mL/hr

Does any one have an insulin pen policy that they are willing to share?

Does anyone compound this and have a recipe? This seems to be the reference.

Thanks!

The use of tetracycline is based on this article: Perry, Julian D. M.D.*; Mehta, Viraj J. M.D., M.B.A.†; Costin, Bryan R. M.D.*. Intralesional Tetracycline Injection for Treatment of Lower Eyelid Festoons: A Preliminary Report. Ophthalmic Plastic and Reconstructive Surgery 31(1):p 50-52, January/February 2015. | DOI: 10.1097/IOP.0000000000000173

Please share if your organization's pharmacy dispenses any specific IV infusion medications with IV priming and/or IV tubing/filter attachment.