Are any inpatient facilities providing Brixadi (buprenorphine)? Have you experienced any safety challenges with implementing? Does your facility also offer Sublocade?

Thanks,
Melissa

I work for an organization that has merged in recent years and we have a difference in process between sites in how OB mag boluses are delivered. Half of the sites have always bolused from the continuous infusion bag using the bolus feature on our infusion pumps. The other sites have used 4g/2g mag bags to give the bolus dose and do not allow bolus from bag. I'm curious which method other organizations are currently using and if you are aware of any limitations or events with your current method. For context we are an Epic organization using Alaris pumps.

Hello -

Wondering how other institutions handle orders that are signed and held with the intention of being administered intraop but then subsequently not being released until after procedure when patient reaches the floor?

Prescribers are appropriately utilizing phase of care, however Epic is unable to catch these orders for auto-dc as it cannot distinguish between the intention of these orders being necessary for past procedure vs potential upcoming procedure.

Local anathesia, for dentists. Do you count it high alert medication?

We are considering implementing ETCO2 monitoring for patients on PCAs. Please share your experiences and lessons learned, especially for the pediatric population.

What criteria do you use for initiation of ETCO2 monitoring? Any issues with carefusion ETCO2 module? Do you utilize the pause protocol? How do you communicate the RR settings to be entered?

All feedback is greatly appreciated!

Thanks,
Jenn

How many organizations have standard labels for infusion lines? What labels are you using? Do you have a standard practice guideline or policy you are willing to share? Any negative or positive feedback is appreciated.

We are a children's hospital within an adult hospital and currently compound 0.2 units/mL and 1 unit/mL vasopressin for shock and 0.1 units/mL for DI. We give all concentrations an expiration date of 18 hours. Wondering what other children's hospitals are compounding and what BUD/stability data do you have?

Thanks,
Rachael

Gaps in intravenous line reconciliation is the active failure in safety events with inadvertent administration of titratable critical care infusions that have been paused-but remain at the bedside instead of intended IVPB, for example. A latent failure is gap in disconnection, discarding drug supply and having the order discontinued after a certain period of pause. Does anyone have robust process to prompt/support disconnection, discarding of drug supply, and order discontinuation after the infusion has been stopped (MAR documentation of STOPPED) for X period of time, such as 4 hours?

Do you monitor EKG, BR & HR when patients are being administered IV phenytoin?

Continuous cardiac monitoring (rate, rhythm, BP) and observation during IV phenytoin administration and BP and pulse monitoring every 15 minutes for 1 hour after administration is recommended. Risk of cardiovascular toxicity increases with infusion rates above the recommended infusion rate of 50mg/min, these events have also been reported at or below the recommended infusion rate.

Hi Friends, we just received approval to implement interoperability with our smart pump fleet. As we engage in the planning, I'd like to see how other folks are supporting from an org structure standpoint.