MSOS Discussion Board

Ordering practices for mineral meds in CPOE

Fuwang Xu's picture

Forums: 

Hello everyone, I am seeking your advice for proper ordering practices for mineral meds in CPOE.

Calcium Acetate (PhosLo)
Calcium CARBonate
Calcium Citrate
Calcium Glubionate
Ferrous Gluconate
Ferrous Sulfate
Ferrous Sulfate Elixir 220 mg/5 mL
Polysaccharide Iron Complex
Potassium Phosphate/Sodium Phosphate
Zinc Sulfate

The drugs listed above make a reference to elemental content and there has been confusion on the nursing side as to what to administer vs. what is labeled on the medication.

Fetal transfusion medication use

Jennifer Turple's picture

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Hello,

Has anyone developed order set or preprinted order for medication use in the context of fetal transfusion? For example,

-rocuronium administered to fetus in utero

-sugammadex as "rescue" for mother ? (when mother receives some of the dose intended for fetus)

Also interested to learn how the mother vs. fetal admin is clearly differentiated in the order.

If no order sets, would also be interested in the drugs/dosing used for fetal transfusion.

Thanks

Jen Turple

IWK Health Centre

Truvada - How do you handle the moisture sensitive issue?

Cindy Summers's picture

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Our facility uses Truvada as post-exposure prophylaxis med. Our process was to give the patient a 5 day supply of Isentress and Truvada at the emergency encounter to last them until they could be seen and evaluated by Occupational Health. The issue is that Truvada is a moisture-sensitive medication and the manufacturer states it can only be dispensed in the original container. We contacted the manufacturer and they would not recommend ANY time out of the original container. There is no unit-dose Truvada commercially available so that is not an option.

Barcode Scanning in Operative Setting

Ambra Hannah's picture

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I am trying to get a sense for use of medication barcode scanning within the operative setting. Please respond if you utilize this technology within your OR and provide details on workflow and compliance.

Thanks,

Ambra Hannah
Supervisor, Medication Safety
WellStar Health System
Mariettta, GA
ambra.hannah@wellstar.org

Request to fill out short survey on the drug library management process

Ivyruth Andreica's picture

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Dear Colleagues,

I am collecting some data to further understand the drug library management process and it's impact to you as a pharmacist.

The survey is only 8 questions and will take approximately 2-3 minutes to complete.

If you'd like for me to share the collated data at a future time, please leave your email address & organization within the last question- This is optional.

Thank you!

https://goo.gl/forms/rDcPTPXKSAEekHnL2

IV fat emulsions hang time

Lara Ellinger's picture

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Does your institution follow the 2014 ASPEN Parenteral Nutrition Safety Consensus Recommendations and have the hang time for IV fat emulsions be 12 hours? If you prolong the infusion over 24 hours, do you use a new container and tubing every 12 hours (per ASPEN recs), or do you allow 1 bag to infuse continuously with the same administration set for the 24 hours?

Thanks

Lara Ellinger, PharmD, BCPS
Medication Safety and Drug Information Pharmacist
Northwestern Memorial Hospital
(312) 926-3571

797 vs. manu. BUD

Melissa Bishop's picture

Forums: 

Likely not a new topic, so hoping for a good response. . .
What expiration/beyond-use-date is appropriate for plain IV fluids from the manufacturer that are "spiked" on the units/OR (no additional medication is added)? We go round and round with whether 1 hour (immediate use/single use container 797) applies. Your thoughts are appreciated.

# of open charts allowed in EHR

Connie Larson's picture

Forums: 

We allow 4 open patient charts at a time. Our vendor notified us of a glitch in the system where it will switch to another chart without the user initiating this and may not be aware it happened. Recommendation is to limit to 1 chart until fixed. We are revisiting if we should all multiple charts open to users and I'm curious what other places allow. We have data that shows the multiple open charts can lead to wrong patient errors but we also see that happen with just one open chart.

Calcium gluconate relabeling

Miranda Howland's picture

Forums: 

My EMS team brought to my attention the Fresenius removed the labeling for direct infusion for calcium gluconate. Apparently these were just recently released. How are others handling this label changes - I have noticed Lexicomp updated their recourses to include dilute ( update 3/12/18) but clin pharm is still outdated with old info. Any guidance on how you all are handling this would be great! thanks

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