MSOS Discussion Board

Long vs short procedures - TJC labeling requirement

Bethlehem Gebremichael's picture

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Regarding labels for medication -
Per TJC, in perioperative and other procedural settings (on and off the sterile field), the date and time are not necessary for short procedures.
How does your hospital define short vs long procedures? I appreciate any feedback or SOP you can share.

IVIG Dispensing and Administration

Brittany Holshouser's picture

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How does your institution handle dispensing and administration of IVIG?

1. Do you dispense individual unopened bottles for the full dose or pool drug into one bag for one dose?

2. If dispensed as individual unopened bottles, do they all have separate labels?

Would love to hear some input from other institutions to help optimize our process!

Hypertonic Saline bolus

Joel W Daniel's picture

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Inviting insights on you scoped bolus doses of hypertonic saline (sodium chloride 3%) in your hospital. The challenge we're facing is the fact that it only comes in 500 mL bags, which is look-alike packaging with other IV fluids.
The issue we see is that providing the entire 500 mL bag for a bolus (often 100 mL or 250 mL) means dispensing a high-alert medication in a volume that doesn’t match the intended dose. This presents a risk for unintentional re-initiation of the remaining volume, especially since hypertonic saline is a high-alert medication.

Standard opioid administration technique

Melody Sun's picture

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We are looking to standardize the infusion duration of bolus opioids in non-critical care areas. Our oncology unit currently infuses opioids over 15 minutes via the pump while other units are less standardized (hand bolus vs. 2 mins via the pump vs. 5-15 mins via the pump). What is the practice at your facility for bolus opioids? Thanks! -Melody Sun, CHOC Children's

Safety Event Follow Up

Kelsie Ophus's picture

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Would anyone be willing to share their processes for follow up on safety events? In current state, we require leaders to investigate and document (what happened, why did it happen, how are we preventing, and what was the outcome to the patient). We require any leader to add follow up if their department/staff were involved. We have great reporting culture, but are finding that the tediousness of the process (and software) is causing a backlog of events.

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