How do you infuse Reclast, with HD considerations (NIOSH Table 2)?

With the bottles being low volume (100 mL or less, generally), what process do you use to ensure total volume is administered?

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

We are an EPIC hospital system. Currently, we (pharmacy) have been sending VIS with vaccine or, in certain case (eg, Flu vaccine) stocking them with drug on the unit. We are concerned that staff maybe storing the VIS in some other location or making their own copies. (Therefore, providing outdated material) We'd like to know how your pharmacy provides VIS sheets. If anyone has found a way to provide digital/electronic copy, any information would be greatly appreciated.

Hello, All.

Our organization currently uses Glucommander IV and SQ for glucose management for our in-patient units. I have seen advertisements for Endotool which reports a lower rate of hypoglycemia vs Glucommander. Wondering if anyone has used Endotool and what your experience is. If you have used Glucomander and Endotool what would be the major advantages/disadvantages that you have seen with each of these products?

Pharmacy is looking at what is defined at our Organzation for STAT and ROUTINE. The end time is not later than X minutes to administration to patient.
But pharmacy would like to define their end of the process.

So do you have a policy that defines:

STAT- what is expected time to medication to floor (pharmacy piece)
what is expected time to administration ?

ROUTINE what is expected time to medication to floor (pharmacy piece)
what is expected time to administration ?
OR fill out this survey

Hi!

I’m reaching out to gather insight into your practices regarding the handling of inpatient medications around the time of surgery/procedure. I'd appreciate your input on the following:

We recently had a medication incident due to a confusing regular insulin drip titration unit of measures in peds vs. adults patients with DKA - MD meant to order initial regular insulin drip (for ped patient) at 5.4 units/hr, however 5.4 units/kg/hr was entered.

Our peds initial insulin drip order has “units/kg/hr” as a default whereas our adults initial and maintenance insulin drip order has “units/hr” as a default. Note - We do not titrate insulin drip in peds but titrate IV fluid instead.

Hello all.... I wanted to update my previous thread to ask:

Can anyone share what their system set up their Alaris syringe pump module for pressure limits/occlusion limit settings are and are you using an inline pressure disc?

I was brought into this issue after limits were set-up by Nursing leadership and BD reps, so I am trying to ascertain what other people have their Alaris pump pressure settings at for the Pediatric syringe infusion meds to share? I think ours may be incongruent with what others might be doing.

Thanks!

Our institution has been using a heparin calculator integrated into Epic for several years, and it has proven to be clinically effective. However, we continue to encounter challenges related to the complexity of managing supratherapeutic and subtherapeutic lab values.

We are interested in learning whether other hospitals have implemented a more streamlined or simplified EHR calculator workflow. If so, would you be willing to share your approach or any tools you’ve found effective?
Thank you!
Rhonda

We recently went live with BD Alaris for syringe pump module only. We maintain a different brand for large vol pumps, which normally would run carrier fluids. Our Nursing leadership received info from BD rep that due to pressure differences, it was recc'ed to use the BD Alaris for carrier fluids - which means a 50mL syringe for carrier fluids. Has anyone else received this same information? In the interim, we are also looking for any reccs for 50mL prefilled NS syringes from a manufacturer or known 503b - Thank you!

please see other discussion thread