obesity dosing with heparin infusion has required creative strategies such as hanging two 50 unit/ml premixed bags with total rate above 4000unit/hr (hard max in alaris). does anyone have experience with challenging high doses to reach therapeutic goal? do you alter the guardrails to allow nursing to turn up rate from one bag? or use two bags? thanks in advance
jbrady@svmh.com

TJC recommends pharmacy address anticoagulation in perioperative setting, can anyone share their approach or protocol? thanks in advance
jbrady@svmh.com

Good afternoon,

Good afternoon,

Could you please share your practice for medication order verification in the general ED? Specifically, do you rely on auto-verification of orders, and is the process different for pediatric patients (i.e. pharmacist review is required for pediatric patients)?

For those of you that require dilution of promethazine, especially for those that dilute it in 50mL NS.

Who does the dilution? Pharmacy? Nursing?

We talked about pharmacy diluting the product in a 50mL bag, but with the short BUD and potential influx of 30-50 orders/day, I don't think it's within our logistical reach.

For those of you that require dilution of promethazine, especially for those that dilute it in 50mL NS.

Who does the dilution? Pharmacy? Nursing?

We talked about pharmacy diluting the product in a 50mL bag, but with the short BUD and potential influx of 30-50 orders/day, I don't think it's within our logistical reach.

Does anyone have an Assessment of Risk form template they really like? I have a form specific to Hazardous Medications, but I am looking for something more general that can be used for almost any situation.

Thanks!

Hi, I am wondering what other hospitals use for their beyond use date for water used to reconstituting oral liquid medications? Or BUD for any sterile/distilled water used for non-sterile compounding purposes?

Bonus if you have resources or references to direct me to.

Thank you in advanced!

Sarah

Hi, I am wondering what other hospitals use for their beyond use date for water used to reconstitute oral liquid medications? Or BUD for any sterile/distilled water used for non-sterile compounding purposes?

Bonus if you have resources or references to direct me to.

Thank you in advanced!

Sarah