At my organization, patients often transfer directly to the ICU from OR or a procedural area, bypassing the PACU. If your organization does this also:

--What scale, if any, is nursing using to assess the patient's sedation level (Aldrete, MOASS, etc.)?
--Do you know of "recovery" standards that exist to guide practice?

Thank you!

Would you be able to share how you dispense sumatriptan injection to reduce risk of IV administration?
Do you use auto-injector? ready-to-use needle attached product?
If you use vials, how to dispense?
Thank you very much!
Susan

Hello,

When referring to the high alert drug list, certain classes of medications are included in addition to individuals agents.
With respect to the classes, IV moderate sedation agents, do folks include IV phenobarbital in this group? With it is not a sedative per se, it has significant sedative properties and could be very harmful when used in error.
Just wondering how folks move from classes to considering how individual drugs may or may not fit into a classification. As you might imagine, referring to a class/classification can lead to differing interpretations.

Does anyone utilize technicians to investigate med incidents and assist with other med safety related functions? If so, could you please share how the technicians are used? If you have a job description/addendum, would you kindly share that as well? We are moving forward with 2 med safety technicians to assist our MSO and I am in the process of outlining roles/responsibilities.

Thanks in Advance...

Catina

for those using meditech 6.15, how are you identifying/flagging pregnant patients to prevent MDs and PharmDs from prescribing and verifying potentially teratogenic medications?

What's hot in the way of inventory management (excluding shortages!)? How many days do you keep on hand and how did you establish that number? Does anyone have experience establishing LEAN inventory management with effective par levels? Or could you share a name of someone or some articles? I would like to hear from you.

When a patient is transferred from one unit of the hospital to another (i.e. ICU to floor or vice versa) what do you do with the actual medications that are stored on the patient's originating unit? Do the medications move with the patient? If yes, who moves them? Who puts them in the ADC? If the medications don't move with the patient who is in charge of getting them to pharmacy? Also, what is the usual turn around time then for the medications to arrive on the new unit.

We are going to be implementing some direct observations for different healthcare professionals and different processes as part of our pharmacy Residency program. I wondering if others currently do direct observation and if you have tools that you would be willing to share? I am also wondering if you could provide examples of processes that are observed in your facility?
Thank you

We recently re-introduced Monoject 60ml syringes in our institution. We were using BD syringes during the Monoject syringe shortage. We have seen an increase in occlusion alarms with continuous infusions when using the 60ml Monoject syringes. We use Alaris pumps. Has anyone else experienced this issue and what steps have you used to address the problem?

Thank you in advance for your response.

Our PACU (recovery room) orders are in dire need of revision. Could you please share a copy/screen shot of yours? We are struggling with the order of use of opioids... when to switch from fentanyl to a longer acting opioid(hydromorphone/ morphine)... max cumulative doses of each... Any help is appreciated!