To prevent wrong dose or wrong route administration errors when administering EPINEPHrine for anaphylaxis, has your organization employed either of the following safeguards:

1.)EPINEPHrine autoinjectors (e.g. EpiPen, EpiPen Jr, Auvi-Q)
a.) If yes, are there specific care areas where these items
are maintained as floorstock? (e.g. oncology, radiology)

Hello,
We are a pediatric institution and are looking for strategies on using texium tubing for doses <1.3 mL. With the 1.3 mL priming volume required (vs. 0.7 mL's for standard tubing) it is too long for these small doses. Any suggestions? Has anyone reported this concern to BD?

Hello
Does anyone have a defined time to waste for partially administered CDS's ? Thanks!
Tom

Hello colleagues,
I'd like to learn about your practice of splitting tablets for doses lower than commercially available tablet size.

I’m interested in know if/how hospitals are securing their controlled substances being administered as a continuous infusion (e.g. fentanyl, midazolam).

Do you secure the controlled substance infusion bag/syringe when they are hanging on a patient?

If so, do you place the infusion bag/syringe in a locked box?
If so, do use a key lock or combination lock?

Do you use a lockable PCA pump to administer continuous controlled substance infusions?

I’m interested in know if/how hospitals are securing their controlled substances being administered as a continuous infusion (e.g. fentanyl, midazolam).

Do you secure the controlled substance infusion bag/syringe when they are hanging on a patient?

If so, do you place the infusion bag/syringe in a locked box?
If so, do use a key lock or combination lock?

Do you use a lockable PCA pump to administer continuous controlled substance infusions?

Hi All,

We are doing our annual review of our Look Alike/Sound alike policy and list, as required by TJC. We currently post our list at our pyxis machines, but are rethinking the utility of printing and posting it. The original intention was for nurses to be able to reference it day to day and when TJC arrives. We have been cited for having an ‘old list’ posted, even though reviewed and not changed.

The 9/29 issue of the ISMP Medication safety Alert! included an URGENT REQUEST for action regarding confirmed mix-ups between Prolia and Udenyca syringes.

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We are currently looking at implementing hard stops for a select number of drugs. We are keen for other organisations to share any policy/ procedures or a list of drugs for which you have hard stops in your electronic ordering system(s) to help facilitate this. If you have the rationale for the hard stop, that would be appreciated too.

Last month, ISMP surveyed MSOS members on scanning the 2D matrix barcodes on heparin and saline flush syringes. Thank you to all who replied! It was apparent from the results that many organizations are having issues with these barcodes.

We are now working with FDA to investigate the reported difficulties and are looking for 3-4 volunteers from different facilities who use Cerner, Meditech, Epic, or Allscripts, (or other EHRs) to assist with the investigation. Your time commitment would be very minimal and include email communication with perhaps some barcode scan testing.