How does your institution select the drug amount and volume used to set hard minimum concentrations for intermittent infusions in the smart pump drug library?

https://www.ismp.org/resources/smart-pump-custom-concentrations-without-...

The entire VA health system is converting to Cerner in the near future. In the meantime unrelated to Cerner and very related to ISMP Targeted Best Practices we as the safety center have been pushing hard for metric only measurement. (it’s a big system with an archaic information system so sites are genuinely worried about safe transitions).

I saw this last posted in 2014, but wanted to re-address given the heightened focus on NMBs. To comply with the ISMP recommendations of segregating NMBs in an RSI kit in patient care areas, we have standardized our RSI kits in the ICU and ED. We store them in the refrigerator both in the pharmacy and patient care area Pyxis'. These kits go in and out of the fridge and what I am wondering from this group is:

Hi members,

Our institution is in the process of revising an Insulin Pump Policy following a recent hypoglycemia event with a patient admitted to the hospital on an insulin pump. I'd really appreciate if you could share your insulin pump policy. Thank you in advance.

Daniel

We are implementing Epic Secure Chat in the coming weeks and would like to hear from others who may be using this functionality around any issues they have experienced around following:
1. Use of pharmacy "groups" to manage messages--to avoid messages sent back to one single staff member who may no longer be working (e.g. shift change)

Hi all -
We usually procure a pack of 10 silver nitrate swabs for clinic use. The entire pack is taken into the patient room for use and the remainder of the pack is discarded with the used product. Our wholesaler only has a pack of 100 available. How do others handle silver nitrate swabs? Are they packaged in smaller amounts?
We are also concerned about removing single swabs for use in the room that the swab will be unlabeled and is a caustic substance.
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

In case anyone missed the FDA alert yesterday, we thought it was imp0ortant enough to repeat here for anyone using Alvogen transdermal fentanyl.

Patients on low dose 12 mcg/hr patch might be at risk due to product mislabeling.

Dear precious members,

I am new to the medication safety position, and I would like to update the job description of the medication safety officer in my institution. I would appreciate if anyone could share his/her job description? it will be very helpful to have insight on different aspects.

Thank you

Dear precious members,

I am new to the medication safety position, and I would like to update the job description of the medication safety officer in my institution. I would appreciate if anyone could share his/her job description? it will be very helpful to have insight on different aspects.

Thank you