Does your organization have a policy regarding the practice of pre-spiking IV bags? Are any exceptions to this policy allowed?

I'm curious what specific high alert medications that other institutes do an independent double check on? I'm also interested in finding out when they require those double checks; during rate changes, concentration changes, starts, etc. We recently put a hard stop in our system to force a check on a few of our high alert medications and we are getting pushback (and work arounds) due to workflow issues. We still have other meds that a force hasn't been instituted on but until we get workflow sorted out I am hesitant to add more.

Hello,
Is anyone else having concerns with these sets leaking? We are finding this happening on all the bi,tri, and quad fusion sets quite frequently.
Thank you, Diane

Hi,
I am wondering what others do about standard parameters for blood pressure medications.
example: hold medication if HR or blood pressure less than a defined amount.
wondering how to create reasonable standard parameter.
appreciate any opinions as well on this practice.

Hello,

We are converting to CADD pump Cassettes for 46 hour and 96 hour home infusion of 5-FU. (Currently we send home with IV bags).

Does anyone have an orderset/SOP that they would be willing to share?

Thanks!

I'm interested to know how your organizations are managing the "Important prefilled syringe safety information"? The information recommends special handling instructions for certain lots of Carpuject(TM) medications. The instructions include recommendations to withdraw medication from the commercially available cartridge-type syringe using a filter needle into another syringe for administration.

We recently had a "mock" JC survey. They commented on number of different labels that each care unit uses to label medications when they prepare a medication on the unit.
Does anyone have a process where they've standardized labels for use by nursing units ( other than the general Red labels that most of us probably use in code carts)?

Thanks,
DiAnthia

Wondering if anyone has developed a drug shortage steering committee at your institution. If so, do you have information on purpose, goals, objectives, [charter],membership, etc. that you're willing to share?

Thanks,
DiAnthia

We had a recent issue where a patient had 2 appropriate heparin flush orders for different concentrations (for different types of line). We identified some gaps which is leading us to take another look at safety processes around storage of heparin flush for patients requiring different concentrations and/or different patients requiring different volumes. We want to minimize nursing manipulation with the use of several syringes just to obtain the desired volume.

We learned recently that there is a change in concentration for rabies immune globulin from Grifols (HyperRAB). The company told us that the product will now be 300 units per mL and not 150 units per mL as was the case with the previous formulation. Note that the 150 units/mL is still available for now but is being phased out.

Reason for the change to the higher concentration is to allow for less volume per injection into the area surrounding the wound. The dose is weight based (see package insert).