Hello, our institution previously used a 0.22 micron in-line filter for epidural syringes. However, we are in the process of switching our tubing. The potential new tubing comes with a 1.2 micron filter.

We are trying to determine if this 1.2 micron filter would be appropriate for epidurals.

I would appreciate the group's input on what filter size do your institutions utilize for epidural syringes.

Thank you!

Our institution is considering switching to Isovue and Isovue-M for contrast.

Isovue is not indicated for intrathecal use, while Isovue-M is specifically
indicated for intrathecal use. For those of you who already stock this contrast, curious how you ensure that Isovue is not being inadvertently used if an intrathecal injection is planned?

Hello all

Has anyone identified effective alternatives for transporting medications, particularly controlled substances, when moving between areas such as the OR and PACU? Looking for options to ensure safety and compliance without relying on carrying medications in pockets.

Thanks!
Amy

Which antineoplastic medications, if any, does your institution ask pharmacists to double verify? And nurses? If implemented, is the second verify completed in your EHR or outside of your EHR?

In an effort to standardize our Omnicell item descriptions with best practices, does anyone have a list they can share of recommendations? Ex. 50mg/5mL instead of 10mg/ml 5ml vial?

FYI - we recently had a large number of Exparel vials make it into circulation that did NOT contain a lot or expiration. We believe they may have come from lot 24-2017 exp 4/2026. We have reported to manufacturer. Sharing for awareness.

Per nursing reports and Alaris alert data from the last 3 months, we have seen a significant increase (about 5-10x) in occlusion alarms occurring during 20% mannitol infusions. We use BD IV tubing, and BD 0.2 micron low protein binding filter extension sets, and currently have ICU medical 20% mannitol 500 mL bags.

I've contacted BD and ICU Medical and am awaiting follow-up. Does anyone else have this problem too or have any experience troubleshooting this or similar issues?

Thanks,

Will Vincent
Boston Medical Center

Is there anyone here that is familiar with WellSky EHR documentation in a long term acute care hospital setting that would be willing to answer some questions regarding workflow concerns/troubleshooting?

Does anyone have storage of nutrition products in stores, pharmacies, and patient care areas policy that they're willing to share?

Thanks!
Baha

Has anyone incorporated language into their Emergency Services policies about when a patient can be discharged after administration of an oral medication?

We have language for injectables that the patient needs to be monitored for 20 minutes, and some additional monitoring and education after an opioid or anti anxiety med, but nothing at the moment for all oral medications.

Thank you,