In lieu of impending shortages of PPE, our system has begun looking at ways to conserve PPE across each facility from students to changing patient parameters to warrant Isolation precautions.

What process changes have you done or thought about to conserve these limited resources?

Hello, we are getting ready for TJC and wanted to reach out to see if any hospitals have a good practice in place for nurses documenting titrations of medication orders that are started in the ER and then are re-entered on admission but the starting rate is not the same as what the patient has been titrated up to in the ER. For example Levophed started in ER 5mcg/min and titrated up to 30 mcg but when ordered on admission it defaults to the starting 5 mcg rate.

Good Morning,

Our health system is looking to develop a standard opioid stewardship program across multiple hospitals. For those of you with established programs and those in the midst of implementation, anything you can share, such as tools, policies, dashboards, etc. would be greatly appreciated.

Thank you.

Our hospital is making a diluted solution of soft soap for use in our OB patient for perineal prep with vaginal delivery.

I believe that this is a old practice. Is anyone still doing this? or have other places gone to more commercially available products?

WE ARE NOT DOING DILUTIONS OF ALL IV INJECTABLE IN PHARMACY I WILL THANKFUL IF YOU SHARE SOPS WHICH IV INJECTABLE CAN BE PREPARE OUTSIDE THE PHARMACY AT BEDSIDE BY NURSES. OR IT IS NECESSARY TO DO DILUTION OF ALL IV INJECTABLE IN PHARMACY EXCEPT EMERGENCY CASES

I'm interested to know if others have organizational policies for allowing or prohibiting "texting" of orders including but not limited to medication orders. What do you allow, how is an order defined when considering the act of "texting"/paging/ etc.

Thanks.
DiAnthia

Dear Colleagues
In our hospital, we have a centralized chemotherapy production site, necessitating transport of compounded cytotoxics by truck from the hospital pharmacy to the hospital itself. Depending on storage temperature, we sometimes see condensation between the secondary packaging and primary infusion bag when the chemotherapy is unpacked on the wards. This always leads to questions by nursing how to proceed in the rare case it might be spilling and not condensation. Does anyone have tackled a similar problem in a constructive way?

Hello, what is everyone doing for the patient safety week? We are told to create a trifold...any ideas you like to share? Thank you for your help!

Hello! I hope everyone here is doing something during Patient Safety Week! Any ideas you like to share? I would appreciate that...we are doing our first patient safety week ever and we want pharmacy department to shine! (This is the first time the pharmacy team is being invited in an event like this!). Thank you for your help!

Hello!
Looking to see if anyone is willing to share their Policy/SOP/ medication list that shows which specific medications require telemetry monitoring in their hospital.
thanks!
Stacy