Hello everyone,

I am reaching out to learn how other institutions approach insulin safety. Specifically,
1. Do you have a dedicated insulin safety committee or working group?

2. If so, what disciplines are represented?

3. How often does the group meet and what are its main areas of focus?

4. Does the group report up to a broader safety or medication management committee, or does it function independently?

5. What have been the most impactful initiatives or interventions to improve insulin safety at your institution?

How is everyone handling medications that come from procedure trays/kits (e.g. epidural, central line, spinal, etc.) These typically contain lidocaine, or other anesthetic drug. These kits are provided by 3rd party vendors and bypass pharmacy oversight. How is frontline staff directed on what to do with the unused medications? For pharmacies that collect them, do you recirculate/redispense the medications?

For ambulatory MSO's, in Ohio, the Board of Pharmacy treats medical oxygen as a dangerous drug. Have you seen any offices that are compliant (particularly with storage and inventory management of medical oxygen) that you might be able to share their good practices?

Hi Everyone
We currently use endotool software to manage our patients requiring insulin infusions. We would like to change to use the insulin infusion calculator in epic for several reasons - cost of the software, transparency in dosing, only having to use 1 platform for medication management. Has anyone successfully transitioned from endotool to the calculator in epic? If so, would you be willing to share your strategies? I would also be interested in how others have built/used the epic insulin calculator and any words of wisdom.

Thanks, have a great weekend!

Hello -
Are others still seeing rare but serious adverse events / cardiac arrest report associated with ceftriaxone administration...?
Thanks,
Emily

our system has had errors with dosing and wrong route.
We have tried separate and combination (peds and adult) kits
We have tried in code carts, not in code carts
We have tried ampules and not ampules

Please message me if you have any special magic answer to these problems and
FILL THIS survey out- 2 minutes, and I will share results.

Colleagues,

Hi everyone, reaching out to see how sites using EPIC schedule bolus insulin around meal times/trays?

Trays are delivered at different times on different units, causing some humalog orders to be "over due" by the time trays arrive. Current humalog times are TID AC 0730/1130/1630.

Wondering if there are creative ways to schedule bolus insulin that works for others.

Thank you!

Hi everyone,
I am seeking input to query if any of your institutions allow fentanyl patches to be ordered on patients that do not have 7 days of documented opioid doses: at least 60 mg oral morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg oral oxycodone per day, 8 mg oral hydromorphone per day, 25 mg oral oxymorphone per day, 60 mg oral hydrocodone per day, or an equianalgesic dose of another opioid?

Our Diversion team has asked us to take a closer look at the CS we allow to be obtained through override function. Would anyone be willing to share which controlled substances are on your hospitals list? Happy to accept the full list if it's easier to share. ThankS!