What is the standard concentration of cisatracurium infusion prepared at your institution? We compound 40mg/100ml and 200mg/100ml but have observed selection of the wrong conc at pump programming. Curious if other sites have multiple concentrations or only use one. Thank you!

What are your soft and hard max guardrail settings for IV treprostinil in your smart pump library. Our soft max is 40 ng/kg/min and hard max is 100 ng/kg/min. However, we have on rare occasion encountered patients receiving above 100 ng/kg/min over the years and currently have a pt with a dose above 200 ng/kg/min. Thank you in advance.

Hello:

Any site implementing fixed dose KCentra? If so, what was your experience and would you recommend this practice?

Thank you in advance.

Hi all,
Wondering if anyone has done any work to put in place something to help minimize/manage interruptions for pharmacists in a hospital setting? Looking for any ideas that may have helped at your site.

Thanks in advance,
Dana Miller

Good afternoon friends and colleagues,

Hope all is well and safe. Do you mind sharing a screen shot for how did you set up Rituximab in your infusion library? Do you have it programmed as mg/m2 or mg/mL?

Thanks in advance.

Sincerely,
Mohamed Sarg

Does your facility allow titration of midazolam outside of the critical care setting? ex. titration of midazolam for palliative care/end of life patients

Currently we allow a continuous infusion with no titration. Rate changes are to be ordered by the provider.

Thank you in advance for your feedback!

Hello! I was wondering what strategies are being used at other facilities to improve IV pump compliance? Our compliance rates are dropping and I am trying to determine strategies to improve this with our nursing team. I appreciate any suggestions!

Our NICU wants to switch to NeoMed ENFit supplies.

After reviewing ISMP articles and other documentation, I'm concerned that this may not be the safest path to go. Even with the low dose tip, it seems there are concerns dosing variances higher than legacy male tip oral dose syringes. Yet, when I go to the manufacturer's website, their main focus seems to be neonates.

Any thoughts from any of you who have already been down this road?

Any effective strategies out there for preventing the wrong med from being refilled in ADCs? We use Pyxis ES. Occasionally these events are matrix drawers, but this frequently happens with cubies as well. Our tech-check-tech process is that one tech pulls the med from our pharmacy stock and a different tech refills the ADC. As far as I know, Pyxis only allows scanning of one med when refilling each pocket. And it can be difficult to impossible to find out which staff members were involved, what the contributing factors were, the initial cause, etc. Any ideas?

With ISMP's survey results about the implementation for the newest two best practices for hospitals, it is brutally apparent that many of us have a long way to go with opioid stewardship. Specifically with identification of opioid-tolerant vs. opioid-naive patients prior to verification of extended released opoioids. Only 15% being fully implemented.