What does your site do when a patient needs to be transported to another hospital by EMS and is on a controlled substance infusion or PCA?

If you continue the infusion, what paperwork do you use to document the transfer of the meds?

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

Wondering how other facilities are handling Codeine and Tramadol prescribing in patients less than 12 years old? Right now we are working with a Best Practice Alert (BPA)I EPIC that fires when providers order these agents in patients under 12 years old - stating it is contraindicated - but they can still order it.
What are other hospitals doing to prevent these agents being used in this contraindicated population? Removing from formulary for patients under 12 years old??

We have made several steps in removing injectable promethazine from formulary. Our first step (years ago) was to limit administration to IM or IVPB. Currently, we have removed this product from all Epic order sets and ADM – except for those related to post-op. Can anyone comment on how they dealt with anesthesia’s resistance to formulary removal? The group feels like they cannot afford to lose this agent since we can’t procure droperidol and their options are too limited for PONV. I would love to hear some success stories to provide to this group.
Thanks-

Hi -

We are trying to refine our process for ordering and dispensing RhIg products (RhoGam or HyperRho) for postpartum prophylaxis in the setting of fetomaternal hemorrhage.

1) Who is responsible for calculating the dose of RhIg product? OB physician, blood bank, pathology, other?

Has anyone had a night pharmacist schedule where the pharmacists worked 7 on/7 off (historically 70 hour work week and paid for 80 hours) and changed this schedule? If so, would you mind answering my questions?
1. What type of schedule did you move to?
2. How did you approach the night shift pharmacists with this schedule change?
3. What was the staff reaction?
4. How many pharmacists did you lose?
5. How long did it take to implement a new schedule?

To add on to the previous forum topic, please provide
feedback on how children's hospitals are handling this situation as the IV insulin luer-compatible syringe is not able to measure small doses that could be needed (i.e. 0.4 units of insulin).

Please comment on your process for both inpatient areas with
24hr pharmacy access and for hospitals/facilities with campuses that have limited pharmacy hours.

Jenn

I'm interested in receiving current practice information on preparation of regular insulin for IV administration for hyperkalemia for adult hospitals. Are you allowing RNs to draw this up and administer IV or do these syringes come from the pharmacy patient specific?

Thank you for your insight.