MSOS Discussion Board

Access to EHR Test Environments (EPIC)

Kelly Besco's picture

Forums: 

For Sites with EPIC…
What sort of access do medication safety pharmacists have to test/run scenarios in EPIC? I have access to POC and TST, because I am sent content by IT to approve prior to it moving into the live/production system.

However, our IT department is reluctant to grant our safety pharmacists access to POC or TST to recreate events/test scenarios. I am just wondering what other safety pharmacists that use EPIC have access to. It may help my case!

Alcohol in the hospital setting

Julie Botsford's picture

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We are curious how others are handling alcohol for PREVENTION of withdrawal in the hospital.

Do you allow this practice?
Who supplies beer, wine, spirits? ( in our institution currently beer and wine are handled by dietary, hard liquor by pharmacy.)
Do you document on the MAR and treat it like a drug, or as a food? Is it stored in the med room fridge or in the pantry?
How do you know the proper dose? Do you monitor for signs of withdrawal in these patients?

Fat emulsion filtration for lipid rescue

Mike Cohen's picture

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As you know, FDA-approved labeling for fat emulsion was modified last year to include a requirement for filtering infusions with a 1.2 micron filter. I'm not sure whether lipid rescue was considered though. Has anyone given that some thought or actually considered and decided one way or another? When fat emulsion is needed in an emergency such as accidental intravenously administered bupivacaine, would you require a filter as per the label?

Thanks,

Mike Cohen

Continuous Albuterol

Randi Trope's picture

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How do you administer albuterol for continuous nebulization to ventilated patients? It requires administration of the product into a nebulizer via a syringe pump. Was wondering if you were using the IV pump you currently use for this product?

The syringe is a 60 mL syringe recognized by the pump however the syringe end cannot connect with IV tubing. The tubing that does come with the syringe at it’s other end can only connect with the nebulizer and not an IV line.

Medication preparation in the OR setting

Bridget Gegorski's picture

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Hello,

At your facility, what percent of medication preparation for the OR setting is being done in the pharmacy vs. the OR vs. 503b outsourced?

What types of medications are prepared within the OR suite?

What have you done to minimize medication preparation in the OR?

Thanks in advance for your responses!

Bridget Gegorski, Pharm.D.

Medication Safety Officer

University Hospitals Office: 216-983-1307

11100 Euclid Ave Fax: 216-844-3052

Cleveland, Ohio 44106 Mail Stop: WRN 5006

Therapeutic Duplication

Cortney Swiggart's picture

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Has anyone found a solution that works for managing duplicate orders on an inpatient basis? We are struggling with orders for pain in particular. We have implemented PRN mild, moderate, and severe indications but continue to see duplicates. Any help you can offer would be appreciated. Thank you.

Cortney Swiggart, PharmD
Medication Safety Officer
Methodist LeBonheur Healthcare
Memphis, TN

Hours facility dedicates to medication safety position

Deon Neal's picture

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I am currently working in a medication safety role at my hospital. I am wondering if some of you would be willing to share how many hours your hospital dedicates to medication safety and then the size hospital that you work with?

Also do you mainly have a pharmacist that takes the lead on medication events and error prevention or his there some nursing roles related to medication safety as well?

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