Our organization recently shifted from saline syringes being dispensed/owned by pharmacy to them being stored in a pyxis and owned by med materials. Does your organization currently utilize BCMA when administering saline flushes? Prior to this conversion of ownership, we did, but this practice is now being challenged.

At our Mock TJC survey, the surveyor was comfortable with our peripheral tubing being changed every 96 hours but questioned the heparin bag hanging longer than 24 hours. Does anyone have a policy relating to this situation?

Thanks,
Olga Woloszczuk

What is your policy for dispensing and/or storing 23.4% sodium chloride on nursing units? Do you stock in ADCs? Do you allow this to be on override status? Do you monitor overrides to ensure scheduled doses are being pulled by patient and not override? Do you identify in some way that this is a concentrated product? Do you have a policy for heparin use in patients with delayed neurological deficit? Do you have an order set for heparin in DND?

Looking to get some benchmarking data on ADC override rates (total % doses removed on overrride). Appreciate if you could share your #s. Thanks.

Hello
Are any institutions currently utilizing the Cactus, CsRx, or other controlled substance waste disposal systems?

If so, what do you feel are the pros/cons of your choosen system?

Best,
R. Bajwa, PharmD
Medication Safety Coordinator
Community Memorial Health System
Ventura, CA

Hi All,

Our organization is reviewing the possibility of creating nursing driven protocol for management of argatroban (dose titration based on aPTT) for heparin induced thrombocytopenia (HIT).

Please share your experience. Is it done at your institution? If yes, what obstacles have you encountered in implementing the nursing driven protocol.

I appreciate your feedback,

Thank you,

Agnieszka Pasternak

Attention MSOS Sig:

We are doing a survey of pharmacy personnel that use IV room automation to quantify its benefits in terms of safety, efficiency, productivity, and financial return on investment.

For those of you that use that information, I would ask if you could take a few minutes and complete our survey to help our team put data around this type of automation.

Here is the link and details to the survey, please cut and paste in your browser:

For Epic users, what route designation do you use for chorhexidine oral rinse? PO/Oral? Oral rinse? something else? Thank you!

We have seen a recent uptick in the ordering of vancomycin to be administered rectally as a retention enema. I haven't had much luck finding best practices for nursing procedure. Does anyone have a policy or resource they can share? I've reached out to Flexiseal (rectal tube) as this seems like the best option that I have found so far.

I am newly in my role as MSO and am looking for another registered nurse sitting in this position to look to for guidance.