Hello,

We have started discussing the ASHP standard IV concentration project at our hospital system. We were wondering who else was planning on migrating their current IV concentrations to match ASHP's recommendations when the final recommendation is published? What type of timeline do you plan on following? Do you foresee any barriers to switching?

Thanks!

We have about 1-2 events per month where the nurse hangs an antibiotic piggyback and forgets to unclamp the tubing. Is anyone reminding the nurses in some way to "unclamp"? Using a catchy phrase as a reminder?

Thank you,
Ann Jankiewicz, PharmD, BCPS, FASHP
Medication Safety Officer
Rush University Medical Center
Chicago, IL 60612

Hello,

I am trying to gain some insight from other Medication Safety Officers regarding how they interact with the IRB and investigational drug services.

Typically errors that occur in this space are documented as study variances and are addressed by the IRB. Do any of your sites also ask that these errors be reported internally to the hospital's voluntary error reporting system for further review?

Thank you in advance for your responses!

Sincerely,

We have chosen to not add U-500 insulin to our formulary for safety reasons. Unfortunately, we are seeing more and more patients admitted that are using this product as an outpatient and we are being asked to convert them to a U-100 product. Have any of you come up with a policy to convert U-500 patients to U-100 products that you would be willing to share? Our current practice is to just put the patients on an insulin drip, but our providers are not very happy with that option. Thank you in advance for your help.

If you use Epic, do you have a way for nurses to distinguish time critical meds (those that need to be administered within 30 minutes of due time) from other medications?

Thank you,
Ann Jankiewicz, PharmD, BCPS, FASHP
Medication Safety Officer
Rush University Medical Center
Chicago, IL

For those institutions using insulin pens:

1. Do you use patient specific barcodes for barcode medication administration (BCMA) of insulin from insulin pens?

a. If so, which EHR vendor do you use?

Recently, our facility has located limited data supporting the stability of Insulin Latus, for two weeks at a temperature of 32◦ to 40◦ F. Daily Lantus doses are prepared, patient specific, in the pharmacy, and delivered to nursing units.

Does anyone have experience with Carefusion Texium and Smart-site chemotherapy CSTD use? We are having issues with IV push of vesicants leaking at connection, and with trying to close the system for CADD pumps used at home. Would love some advice on potential causes or how to use the system more effectively, or a better system (with use experience!)
Thanks
Brenda

HI,
Can you provide what your institution is doing to prevent pharmacy and/or nursing from mixing the two up since they have similiar labeling and same size bag?
Your help would be appreciated.
Thanks
Marilyn Hargett

Have you experienced any of the following problems with depo-subQprovera?

1. The product clogging the needle
2. The needle disconnecting from the syringe when administering
3. Complaints of bruising and nodule formation at the injection site

If you have observed these problems what actions did you take to mitigate these issues?

Thank you for your help.

Damon Pabst
Medication Safety Coordinator
Children's Mercy Hospital