some Mannitol vials are kept in warmer, does anyone know how long they are good for in there to keep crystals dissolved? Or do you have rule to keep at RT?

I am curious what specific strategies others are using throughout the medication use process to reduce the risk of errors when bringing new products (secondary to drug shortages) into their organization.

Has anyone created custom auxiliary labeling to give nursing or providers a heads up that the drug they are handling is "new/different"? Is anyone sequestering products temporarily brought in to a specific location or in a lidded storage space?

Love to hear others successes/thoughts! Thanks!

I am curious what specific strategies others are using throughout the medication use process to reduce the risk of errors when bringing new products (secondary to drug shortages) into their organization.

Has anyone created custom auxiliary labeling to give nursing or providers a heads up that the drug they are handling is "new/different"? Is anyone sequestering products temporarily brought in to a specific location or in a lidded storage space?

Love to hear others successes/thoughts! Thanks!

Good day
At Cleveland Clinic Abu Dhabi we are in the process of changing medication event type categories (e.g.: wrong dose, wrong medication, IT error, etc.). Can you please assist us with references and/or what is used in your institutions.
Very much appreciated
Raya_z@hotmail.com

I would like to find out what other institutions are doing regarding the patient weight for inpatients. We have historically based all weight-based doses off of the first clinical weight of a patient stay for inpatients. In areas were this rapidly changed (such as NICU) OR if weight was in error, the pharmacist manually updated the weight. However, this was a carry-over from before electronic EMRs, and does not apply to outpatients or recurring series (such as is seen in Oncology).

For hospitals who prepare emergency tackle boxes (code stroke, post-partum hemorrhage, etc):
1. How do receive used boxes when they are returned to the pharmacy?
2. Do you have a process for cleaning the boxes?
3. What do you do if fluid-filled syringes are found in the box?

I apologize in advance if this has already been asked and I missed it. 1. Is anyone excluding staff members based on waivers for reproductive/pregnancy related risk if it is not applicable to that staff remember? 2. For small facilities (especially those that do not administer antineoplastics) how are you disposing of PPE and needles/vials/tubing. Are you providing bins in each patient room?

We are evaluating our goal for insulin-induced hypoglycemia. As part of the review I would like to gather what other children's hospitals have as their own goals for this metric.

•How do you measure IAH? What is your Num/Denom?
•What have you set as your goal?

Thank you in advance for the information.

Allison Romain-Dika

I am interested to know if anyone has pharmacists programming IV pumps or just verifying that a pump has been programmed correctly. Our ED pharmacists at times are programming pumps during emergent situations (code stroke, trauma) and there is concern from some of the staff that this is 'administering' medications. We are reaching out to our BOP but also wanted to learn of other practices. Thank you for your time.

Carol Labadie
Vidant Medical Center
Greenville NC

My understanding is that State Law dictates whether an RN in ED, PACU, OB has the authority to dispense take-home packs of meds to patients in these areas. I am familiar with the understanding that staff RNs in Colorado can administer medications, and that they are NOT authorized to dispense meds; that only the Care Provider (PCP, ED docs, OB docs, APNs, CNMs, PAs) may hand the take-home meds to the patient.