Good afternoon,

Do you have a policy that guides nursing for PRN medication timing? How soon can they give the next dose ie 30 min early for say a q4 hr prn order? Do you have it mapped out for each interval ie q1 hr prn vs q2 hr prn etc?

Many thanks in advance!
Jeanette Dean

Does anyone have a policy or standard of practice regarding driving after receiving sedating medications? For example, patients are advised not drive for so many hours, or are not allowed to drive themselves from the hospital? We are seeing this more in the ED setting and this stirs up nurse/pharmacy debate about how long the patient needs to be kept before discharge if they do not have any other means of transport.

Thanks!
Courtney

I'm hoping you can help provide some corrective actions based on an error we had:

A patient with ongoing rejection of kidney transplant was receiving filgrastim. Once the white count improved the team had asked for the filgrastim to be discontinued (was getting it 2x/week) and it was not recognized that it was not actually discontinued.
The patient went on to receive two more doses and ultimately the WBC count rose to 59K

Would be very interested in how others define "hold" orders in policy.

Thanks!

Do any of your facilities use diazepam in the PACU to treat withdrawal in your ambulatory surgery centers? If so, is it stocked for all cases or only limited to 23:59?

Thank you

We are currently in the process of identifying PI projects for 2019. BCMA is receiving a lot of attention at our institution and an area where we may have opportunities for performance improvement. To facilitate brainstorming, can others offer BCMA related PI projects they have previously completed at other institutions? Thanks!

Hi all -

I've been asked by my leadership to create a scope of services document. Does anyone have one that they're willing to share? Additionally, they specifically want our scope of service as it relates to nursing. Does anyone have that specifically called out?

Thanks,
Elizabeth

We are exploring smart pump options with an eye towards EMR interoperability. While we have some limited experience with older models of Alaris and Hospira Plum pumps, we're very interested in what the group has to offer in the way of insight and wisdom.

What questions should prospective purchasers be asking when assessing:
1. Usability
2. Safety features
3. Interoperability
4. Complex programming

I wanted to see how other institutions, including health systems, structure the medication pump libraries. We currently have 4 different vendors for our large volume, syringe, epidural, and PCA pumps. Each pump has it's own subcommittee and chair that report to a larger multidisciplinary pump committee. Currently, the medication safety officer is the chair of the pump committee and in charge of all library maintenance, including upgrades.
I would love to hear how other institutions handle the pump libraries.
Thanks -
Maria Cumpston, PharmD, CPPS

As a matter of curiosity I'm interested in how other institutions are handling the Designated Person requirement in USP 800

1) Is your DP only responsible for USP 800 implementation or do they have other responsibilities?
2) How many FTEs do you have assigned to the DP role?
3) Does your DP draft the non-pharmacy related procedures?

Thanks!