What are your institutions policies on pulse ox for PCAs? Do you require it for the entire time or just the first 24 hours?

Thanks!
Jennifer

Hi all - looking for input about samples in outpatient clinics. These clinics are newly a department of our hospital and are now surveyable by DNV. We have been conducting mock surveys to prepare. For the past 10 years, we have not allowed samples in any of our clinics due to the extensive documentation, labeling, etc. that goes along with it. However, a number of these clinics have and dispense samples. Our stance right now is to rid of all the samples in alignment with what we have done in the past, but posting here to see if this is behind the times? Do you all allow samples in clinics?

Is Nitroglycerin SL on your High risk list?

How other Epic hospitals are handling orders for oral and rectal contrast? Is it treated like a med and ordered, verified by Pharmacy, administered on MAR? Our current practice is that the order is generated by protocol (med not documented in Epic), DI tech mixes the contrast, labels it, and sends to the unit.

Good morning-
Do any facilities serving both adult and pediatric facilities have a system for distinguishing pediatric labels or emphasizing very small volumes (i.e. < 0.1) mL? We have had several near miss events with doses being pulled up as 10 fold greater than indicated and want to optimize labels to prevent this.

Sara

Has anyone had any reported issues of the blue exit port on FK bags falling off when the nurse spikes the bag causing the fluid to fall out?

We have had 3 reports in the last week on both the NS 100 and the NS 250.

**NS 250 lot is 6402421**

Hello everyone!

I'm reaching out to see if any facilities follow a regular auditing schedule for controlled substances. If so, would you be willing to share how frequent audits are performed and if you follow a set protocol?

I appreciate you all! Thank you!

Hello colleagues! For sites that are live on pump integration.... could you please share the following information

1) How are fluid boluses handled at your organization? are they always administered "off pump"? Do you have any special build or procedures related to fluid boluses?
2) Are sepsis boluses done in a special/different way from other fluid boluses?

Hi,

I recently discovered a workflow in one of our oncology areas in which a provider will verbally tell the pharmacist what treatment plan they want for a patient, the pharmacist enters the orders and "pends" them for the provider to sign, the provider signs the orders, and then the same pharmacist who pended the orders does the first verify.

Hello!

Wondering if anyone is currently administering / using Nitrous Oxide for analgesia / sedation in your Ambulatory Clinics...?

If yes, do you have a policy that you would be willing to share!

Thanks in advance!
Emily