Was wondering if anyone who uses Cerner and has a good process for med history and med rec can reach out to me and be open to a conversation?

I'm new to an institution that has Cerner and the compliance with med rec is not very good...looking for some built in forcing functions within Cerner that people may have utilized to accomplish improved compliance.

Thank you,

Randi

In tracking barcode scanning compliance, our diagnostic imaging dept frequently comes up with terrible compliance rates. We've narrowed down that the iohexol (omnipaque) contrast is the primary problem. I'm told it gets loaded into a device for administration and the original vial/barcode are not available at the time of administration. Have other hospitals had this same issue? Have you found a fix for this issue?

Are there institutions that have diagnostic radiography/imaging agents (e.g., iodinated contrast agents, technetium products, gadolinium contrast agents) in the normal workflow with other drugs, where they need to be associated with a use or indication or procedure (ICD, SNOMED) for the drug order and/or to populate the patient problem list? I don't recall dispensing these when I was in hospital pharmacy, but perhaps that is institution-specific.

I hope this post finds you well. Our hospitals have been working on developing processes/strategies to align with TJC’s new Maternal Complication Standards.

One of the projects involves emergent management of eclampsia. The protocol that our OBs are proposing is from ACOG and recommends that 5 gm/5 mL intraMUSCULAR magnesium (x2 doses) be given to patient that do NOT have IV access. The total dose equates to 10 grams and involves using 50 % concentrated magnesium.

I am looking for some insight on how your organizations differentiate Haloperidol Deconate vs. Haloperidol Lactate. I looked on the ISMP website and did not see it under the confused medication names list or the LASA.

Tall man lettering?
Bins with lids?
An alert in the EHR/ADC?

All ideas would be helpful!

Thank you,
Sarah Sharp, CPht
Medical Safety Specialist
Adventist Health + Rideout

Hi all, 
We are looking to revamp our safety dashboard, specifically when looking at bar code medication administration data. What metrics or data do you pull and analyze when focusing on bar code medication scanning? Do you focus on only high alert medications or all medications with bar code scanning? At our institution, we are trying to determine how to make the largest impact with our dashboard data. Thanks for any advice or direction you might have!

We are discussing SDS reference requirements and have a couple of questions.

1. Do you have SDS sheets online or in print?

2. Do you require printed copies of any of the following to be available?
Chemicals (e.g. bulk raw chemicals cleaning supplies), Medications
Hazardous (RCRA) medications

3. Which online databases do you use?

4. Who stores/maintains printed copies?
Nursing/patient care area
Pharmacy

If you have a policy to share it would be appreciated.

Thank you,
Damon

Hi,

Is anyone putting hazardous drugs (chemo or otherwise) in your automated dispensing cabinets (e.g., Pyxis, Omnicell)?

We likely will be, but wanted to ask in case I was overlooking any reasons not to.

Best,
Renu Bajwa, Pharm.D.
Medication Safety Coordinator
Community Memorial Health System
Ventura, CA

Topic: Independent Double Checks