How does your facility securely store refrigerated controlled substances in Pyxis? Joint Commission just clarified that we have to abide by the PI for storage and dating, so we have to move our lorazepam into our Pyxis fridge.

I am wondering if any facilities currently using the MRidium (MRI compatible) pumps can speak to how they are managing patients on controlled substance infusions.

Are the CS infusions being hooked up to the MRidium pump? Are they being paused? How are the controlled substance being "locked up"/secured? Is there accounting of amounts during pre or post-MRI handoffs? Interested in any information others can provide.

Thank you!

Hello,

Does anyone have mannitol on their high alert medication list?

Surgery eye tech noticed the Adrenalin vials that are used in his procedures were labeled "not for opthalmic use". It was discovered that the vials of Adrenalin (PAR) that were now in stock had the labeling "not for opthalmic use" and previous vials did not have this on them. The vials are the same NDC #, same product.

Is anyone aware of any groups, networks, etc. focused on medication safety/medication management in critical access hospitals? We are a large health system with many CAHs in multiple states. Thanks!

Is anyone aware of any groups, networks, etc. focused on medication safety/medication management in critical access hospitals? We are a large health system with many CAHs in multiple states. Thanks!

Hi all,

We recently had a patient admitted with a continuous glucose monitor. If your hospital has admitted these patients, how are you managing them?

Thanks in advance!
Meghan

All,

Do any of your organizations split your smart pump parenteral nutrition limits up between cyclic and continuous? If so, please consider sharing info.

Thank you,

John

Does anyone allow the infusion of 3% sodium chloride outside of a critical care/ICU area? We have nephrology order it occasionally on our short stay or telemetry unit but our policy says it can only be administered in Critical Care. We are reviewing if that policy needs to change. We do have a dual sign set up in Epic because it's a high risk infusion.

Thanks.

We are attempting to develop a nurse driven protocol for the treatment of IV extravasations to decrease delays in treating patients. Has anyone developed a protocol or do orders for antidotes require an order from the MD?

Thank you,
Carey Estes, MSN, RN, CPPS
Mission Hospital
Asheville, NC 28801