for high alert medication our policy restricted availability of HAM TO ONLY ICU , PICU,OR and ER but sometimes we need heparin and lidocaine inj. for some ward example surgical ward for catheter maintenance(heparin fush) and as local anethetic (Lidocine) in dressing room what iwil do .iam looking for any policy or plan for this idea
thank you

Does anyone define in policy the amount of time that should lapse between controlled substance removal from the ADC and administration to the patient? If so, what is the time and where did you get it from?

Does anyone define in policy the amount of time that should lapse between controlled substance removal from the ADC and administration to the patient? If so, what is the time and where did you get it from?

I am wondering how hospitals with pediatric units manage orders for doses that are < 0.2mL (or some other small value)?

Does the pharmacy draw all of these doses and send to the unit?
What is your cut-off volume for pharmacy preparation?
What are your EHR dosing rules to accomplish this?

We have a Urogyn clinic using fluorescein with botox injections for Overactive bladder. I am wondering if others have seen these two medications used together in Urogyn clinics. I have not been able to find literature to support this use - so curious if others are using. Thanks!

Hi All,

Do you have any buprenorphine policies you are able to share? Looking for information on prescribing and dispensing restrictions in an inpatient hospital. Same for methadone.

Thank you!

Hi All,

Do you have any buprenorphine policies you are able to share? Looking for information on prescribing and dispensing restrictions in an inpatient hospital. Same for methadone.

Thank you!

At your institution for continuous infusions, including IVF, do you have a guideline/policy regarding how much volume can the VTBI (volume to be infused) be set for on the pump? 1 hour worth of fluid? Two? More? And rationale if you know it.

Thanks.

Hi Everyone,

Hi All,

We are working through improved notification of NG/OG tubes as it relates to medications that cannot be crushed.

How does your institution make sure meds that cannot be crushed, are not crushed?
Are you doing anything unique?

We have locked down order sets routes (e.g. only available by oral route), included information on the ADC that is on the order, and have added administration instructions, "do NOT crush".