MSOS Discussion Board

time critical medications

Jeanne Brady PharmD's picture

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time critical meds categories here at our institution is fairly broad, general stating 'antibiotics, anticoagulants, pain meds'. a specific medication list that identifies unique names of drugs -does anyone have one to share? how does your hospital define time critical, 30 minutes, scheduled meds only? jbrady@svmh.com

preparation of Neb Hypertonic saline from IV product

Wedd Saud Bahha's picture

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Dear Medication Safety Officers,
In preparing Hypertonic saline 3% as nebulization from the IV product, does it need to be prepared in sterile area as IV preparation?
If Yes, can oral syringes be used instead of IV Luer Lock Syringes that is potential to cause harm if given IV by mistake

Iam curious to know your practice around

PHI in the trash

Ann Jankiewicz's picture

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Our pharmacy technicians are finding empty plastic bags from medications with patient name and other identifiers in the trash. What are nurses at your institution doing to keep this information confidential? Black out name with sharpie or label? Other?

Portless Tubing

Kate Barnes's picture

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For those of you who are using portless tubing in your facilities, have you found effective measures to address air in the line? Our nurses feel an excessive amount of medication is wasted and pressors are being paused for an extended period while they attempt to clear air bubbles.

Push Dose Pressors?

Jeffrey McCarthy's picture

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Does your institution use push dose pressor (PDPs) (phenylephrine or epinephrine) outside the ORs?

If you use PDPs what safeguards did you put in place?

Have you seen errors and or ADEs with PDPs?

Where do you allow PDPs to be used?

Thanks, Jeff McCarthy
Southcoast Health

Bolus Administration from Infusion Pumps

Alyssa Lopus's picture

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Hello,

Hoping to gain insight into other institution's practices regarding infusion bolus administration from infusion pumps.

Questions:
1. Does your institution allow nursing to administer boluses from infusion pumps?
2. If so, is the practice allowed for all infusions or are there exclusions?
3. How do you reflect this practice in your electronic health record to ensure documentation and patient charging is appropriately occurring?

Thank you!

Hazardous Drug Storage Room and powder hood

Karen Thompson's picture

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We have recently remodeled and now have an HD storage room with a powder hood. Does anyone have any policies or SOPs related to the use of the powder hood and the HD storage room (garbing, cleaning, etc,)? If an RPh is walking into the room to check a compounded HD, or remove a compounded IV HD from the HD buffer room pass-through, do you require full garb? If staff are restocking meds in the HD room, do you require full garb?
Would it be reasonable to only require shoe covers and gloves in that room if you are not compounding?

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