Good afternoon,
It used to be recommended that nursing "double prime" IV insulin prior to administration.
Are organizations still doing this, or is this an old practice?
Thank you,
Stacie

hello every one
can ask if contrast media using for x-ray it is classified as high alert medications

For those of you who are using portless tubing in your facilities, have you found effective measures to address air in the line? Our nurses feel an excessive amount of medication is wasted and pressors are being paused for an extended period while they attempt to clear air bubbles.

Does your institution use push dose pressor (PDPs) (phenylephrine or epinephrine) outside the ORs?

If you use PDPs what safeguards did you put in place?

Have you seen errors and or ADEs with PDPs?

Where do you allow PDPs to be used?

Thanks, Jeff McCarthy
Southcoast Health

Hello,

Hoping to gain insight into other institution's practices regarding infusion bolus administration from infusion pumps.

Questions:
1. Does your institution allow nursing to administer boluses from infusion pumps?
2. If so, is the practice allowed for all infusions or are there exclusions?
3. How do you reflect this practice in your electronic health record to ensure documentation and patient charging is appropriately occurring?

Thank you!

Hello - our USP 800 implementation team would appreciate your response to the following question: What is your process for wasting PPE used during the administration of NIOSH Group 2&3 hazardous drugs?

We have recently remodeled and now have an HD storage room with a powder hood. Does anyone have any policies or SOPs related to the use of the powder hood and the HD storage room (garbing, cleaning, etc,)? If an RPh is walking into the room to check a compounded HD, or remove a compounded IV HD from the HD buffer room pass-through, do you require full garb? If staff are restocking meds in the HD room, do you require full garb?
Would it be reasonable to only require shoe covers and gloves in that room if you are not compounding?

Leuprolide is a Table 1 NIOSH medication that comes in a prepared syringe with an attached needle from the manufacturer. It needs mixing of diluent and powder in the closed syringe. There is some debate at my facility as to whether this is manipulation that needs to be done in a BSC. Thoughts?

For pediatric ICU patients (in a pediatric unit) on continuous infusions who are of an adult weight ---do you continue to use weight based dosing or do you switch to non-weight based (i.e. mg/hour)? At what weight do you convert and is it different for different medications?

If it is different for different medication or you switch to non-weight based do you find that the nurses find this more confusing?

Please let me also know where you work so I can use this information for potential practice change at my new institution.

Thanks.

Good evening,

I was hoping to gain insight on other hospitals/health systems approach to nicardipine infusions, particularly related to concentrations.

If you would share whether your institution has standard peripheral and central line concentrations as well as what those concentrations may be, it would be much appreciated!

Thank you,
Alyssa