We are currently implementing a new High Alert policy within our Health Authority. We are interested to learn what other OR's are doing in regarding processes around high alert medications especially involving anesthesia. Is storage labelled, made syringes labelled, independent double checks, etc. If you can share your processes that would be very helpful. We currently do not have electronic anesthesia carts (Pyxis carts) nor Codonics/barcode scanning.
thank you,
Terrence Davidson
Medication Safety Pharmacist
Saskatoon, Saskatchewan, Canada

We are evaluating implementing Pyxis printers on all our Pyxis MedStations. This was specifically requested for our multidose insulin vials. I was wondering if many other sites use this technology and what other medications you have found value in labeling. Thank you!

When administering vincristine IV for an inpatient through a PORT or PICC is your standard to run it via gravity or can nurses use an infusion pump for administration? Thanks.

Hello, I’m wondering what approach your hospitals might be taking in light of NIOSH
merging the reproductive drug category into table two.

Hi all,

We are in the process of reviewing computers and cameras for IV compounding via EPIC. 

1. What camera and computer/tablet are you using? What would you recommend? 
2. Any Lessons Learned?
3. Are Computers and cameras outside the hood, or inside? We have laminar flow hoods & glove boxes; SCAs and Clean rooms; HD and non-HD areas. The space is limited at each location. 
4. If you are willing to share your setup, I'd truly appreciate it. 

I'd appreciate the opportunity to connect with other facilities using the Novum IQ pumps to discuss library configurations and pump settings.
Please reach out!

Hi all,

I hear from our staff that our event reporting form is cumbersome and time-consuming, presumably leading to decreased reporting. I fully agree with them, but have not gained support from our risk management team (who "owns" the reporting tool) to make any changes. Our medication/fluid report has at least 31 total fields, and 17 are required. I've attached screenshots with some things answered to give a feel for what the answers to some of the questions may be.

The point here:
How many fields does your med event form have?

Hi All,

We had a recent safety event where a patient did not know he needed to push down the Lovenox syringe to get the dose needed, so he was injecting the full syringe. Our Med Safety Committee is reviewing ideas of how to improve our education on this topic. Do other institutions have "kits" that a patient can practice with or how do you achieve this important education piece? We are thinking of putting together a kit for each unit to utilize so a patient can have more hands on practice.

Thanks!

I have always been a big fan and believer in LR over the use of NS. I am in the process of having discussions with my medical director about switching from NS to LR as our primary IV fluids.

Has anyone had any type of bad interaction with administering LR to a patient or have any other insight on NS vs. LR?

We are implementing Vial2bag system with the goal of stocking drug vial in ADC, and the diluent plus adapter stocked nearby in the medication room. A question comes up around labeling after the nurse connected the adapter. For those that have a similar bag and vial adapter process in place, could you share your process for labeling (e.g. no labeling needed, vs handwritten label, printed label, other)? Thank you.