IV/PCA narcotics transitioning to Oral- what do your institutions include in labeling comments area to address instructions on weaning off IV to PO? hold if RR<8 for example? What other important instructions are added to notify nurse and minimize redundant phone call to provider? Thank you.

Hello!

I wondered if anyone might be able to comment on their current practice with ophthalmic products and their management when it comes to Ophthalmology consults / exams.

We are recognizing that there are some ophthalmic products that make their way into the hospital setting in ophthalmologist "pockets" from their outpatient practices and used during their consultative exams, etc.

If administering vinca alkaloids as an IVPB, does pharmacy dispense with primary or secondary tubing?

On a related note, if using secondary tubing, what is the nursing procedure in case of an infusion reaction?

Thank you,
Daniel

Is there an expectation to document medication history for patient encounters in Ambulatory Infusion Centers at your organization? If so, who is responsible?

Thank you,
Daniel

Please take a minute to respond to this brief survey regarding propofol controls. A summary will be provided.

https://forms.gle/FvxWydNBu7L4vFbX7

Thank you,
Daniel

Hello everyone - We are currently looking into modifications on how we order fentanyl patches to ensure we communicate appropriate application instructions, warnings, dose recommendations, etc. Appreciate if anyone is able to share examples of their IT builds for ordering. We are an Epic institution. I have reviewed UserWeb and examples there are mostly order sets, but we are trying to build these around a single orderable to account for medication reconciliation and reduce excess burden in ordering.

Have your facilities encountered the d50 shortage for hypoglycemic events? If so, what alternatives are you using besides glucagon? Are you pre-making in pharmacy? Sending large volume bags? Thanks!

MGMC allows 4 grams/24hr as an acceptable max daily dose of Tylenol. Is this similar to your institution? Or have you adopted a lower max dose (e.g. 3250mg)? We recently have had a couple patients experience Tylenol toxicity when they received the acceptable 4 gram/24 hr of Tylenol. We are exploring the idea of lowering the max dose of Tylenol, has anyone experienced the same thing and has made or is considering this change?

Thank you

We have nurses that mix injectable midazolam diluted in apple juice and given orally to patients in a waiting room prior to eye procedures.

Is this a practice that happens in your facility?

Do you require specialized training in procedural sedation? If not what are your guidelines for monitoring these patients?

Thank you,
Shonda

We have nurses that mix injectable midazolam diluted in apple juice and given orally to patients in a waiting room prior to eye procedures.

Is this a practice that happens in your facility?

Do you require specialized training in procedural sedation? If not what are your guidelines for monitoring these patients?

Thank you,
Shonda