Hi,

How does your institution handle the various route options for ordering enteral medication delivery in the EMR?

1) All route options are available to select for all medications - po, ng, og, nd, g tube, j tube,etc
2) Use more general categories, such as "by mouth" or "by enteral tube" (rather than each type of tube)
3) other?

Thank you.

We had a question come up during a mock JC survey about orders for lidocaine in the ED when used for procedures.

Our current workflow in the ED utilizes suture technicians who do not have pyxis access. The surveyor questioned where the order was for the lidocaine they were using while placing sutures (stiches) on a patient.
Does anyone have a process where these technicians have "orders" somewhere" for lidocaine use prior to sutures?

Thanks,
DiAnthia

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We are considering adding medications into TPNs. We are interested if anyone can provide information on which medications are used, policies/procedures, and literature that supports this practice?

Thank you

Hello all,

I'm curious if anyone has any experience with Simplifi 797 OR a competitor. We are looking at more efficient ways to track/document our stuff.

Any insight into the products would be appreciated.

Hello all,

I wanted to reach out to get some input regarding a recent issue that we are trying to work through. With strong recommendation from our ID team, quite a few HIV medications were added to our formulary. This was done to reduce resistance rates and to ensure patients would receive proper medications when admitted.

Hi,

In our medication safety meeting today, the nurses were talking about how hard it can be to tell different patches apart, or even to see the patches.

For example, if a patient is on a nicotine patch and a fentanyl patch and they look alike, how do we avoid ending up with two fentanyl patches and no nicotine patches?

Have any of you come up with strategies to label the patches upon application?

How can we make a clear or flesh-colored patch more visible?

Thank you,
Dan

Good Morning,
Per ISMP recommendations for oral liquid medications, we use oral syringes that are amber in color AND have "for oral use only" on the syringe. We also add an auxiliary sticker to the label that says "For Oral Use Only".
Concerns have been brought forward by staff regarding confusion to nurses when an auxiliary sticker is added saying "for oral use only" but the route is G-tube, or J-tube, or NG tube.

How does your facility securely store refrigerated controlled substances in Pyxis? Joint Commission just clarified that we have to abide by the PI for storage and dating, so we have to move our lorazepam into our Pyxis fridge.

I am wondering if any facilities currently using the MRidium (MRI compatible) pumps can speak to how they are managing patients on controlled substance infusions.

Are the CS infusions being hooked up to the MRidium pump? Are they being paused? How are the controlled substance being "locked up"/secured? Is there accounting of amounts during pre or post-MRI handoffs? Interested in any information others can provide.

Thank you!