Hello,

In your institutions, who is responsible for training, establishing procedures and surveillance of smart pumps? Is it nursing, pharmacy, a dedicated interdisciplinary committee?

This would help us to find out how other health care systems have succeeded in assigning the required ressources to support safe use of smart pumps.

We are a complex, public health care system in Québec including 7 short acute care hospitals for a population of 450 000.

Thanks.

Hello all,

Can you please share how your OR incorporates pharmacist and available technology in intraop setting? What processes are still manual/semi-manual? How do you handle narc waste and reconciliation of narcs (ADC vs paper)? What would you like to see happen (ideally)? Does OR pharmacist(if you have one)extends his services to PACU as well.

Thank you for sharing.

I'm curious how other institutions view the role of the MSO for USP 800 compliance requirements (specifically leading the project/program development). I need help to justify to my administration that this work requires a dedicated, knowledgeable person outside of the work I provide as a medication safety officer. Thanks in advance for your help and comments.

Hi all -

We're an Epic organization, and I just found out that the administration documentation process allows batching, where the nurse can scan and document multiple meds in a row, or batch, at one time. You still have to go through each one individually, but it's not the process of armband scan, med barcode scan, administer, then move to the next med. This is contributing to some of our administration events.

Do any other Epic organizations have this same issue, or have you implemented any kind of fix for this?

Thanks,
Elizabeth

Hi all,
Has anyone that has the ability turned on allergy alerts upon BNV scanning? We are toying with the idea but are concerned about alert fatigue and nursing workflow. Any information is helpful.
Thank you,
Lauren

Hi,
We are currently reviewing a situation where lorazepam injection was required from Pyxis, but there was a delay noted and accessing the medication from pyxis contributed. Currently, it is treated as a controlled product requiring a count.
How do other emergency departments access a medication rapidly when required, but still meeting safe ADC guidelines as well as regulatory responsibilities?
Thanks,
Terry Davidson BSP
Med Safety Resource Pharmacist
Royal University Hospital
Saskatoon, Saskatchewan, Canada

Has your facility come up with a good process for documenting a wrong drug error on the MAR? Wrong DOSE errors are easy to document, since the RN can override a dose warning and complete the documentation. However, if the medication was never ordered, there is nothing for them to document against if a wrong DRUG error is discovered. I feel that the MAR should be an accurate representation of ALL medications that were administered, even if it was done in error.

Hello all,

We just discovered that our medication tray supplier no longer carries the colored trays we have previously used to designate the pediatric crash cart trays from adult trays. What are other organizations using to differentiate?

Thanks!

If a prescriber increases a fentanyl patch dose on day 2 of therapy (increase from 100 mcg to 150 mcg), do you:
1. just add on a new 50 mcg patch (100mcg patch gets changed in 1 day, 50 mcg patch gets changed in 3 days),
or
2. remove the 100mcg patch. Apply a new 100mcg patch and a 50mcg patch. Both patches will be due for changing in 3 days.

thanks

Good morning, we are exploring options for distinguishing non-standard heparin concentrations for impella devices. We already term the products accordingly in our EMR (Epic) as "purge solutions" as well as identify a unique route of administration, but the request from our medication safety committee was to additional distinguishing factors such as auxiliary labeling. Requesting for the group any further ideas or processes used for these heparin solutions.