Can anyone offer advice about the use of staerile talc in the canister form? Can that be used as an alternative to the vial form which is dispensed in a syringe?
Our Thoracic prople are saying the aerosol form does not have mechanism to administer the aerosol through the chest tube at the bedside.
Has anyone had experience with this form?
Thanks
Susan

I work for a 15 hospital system and we are tackling standardizing heparin concentrations used in radiology for peripheral vascular procedures (e.g. catheter directed thromboplysis). The radiologists say that they need dilute heparin so there is sufficient flow rate in addition to the MOA of heparin to prevent pericatheter thrombosis.

My premises to this project:
- Minimize available heparin drip concentrations to 1-2 at most organziation-wide
- Use premixed solutions whenever possible

At our institution our nurses often use what I like to refer to as "cheat sheets." They use these sheets to help them organize what they have to do throughout their day (feeds, meds, dressing changes, etc.).

For those that store medications in patients rooms:

1) Who delivers the medications to the patients room?
2) Who removes the medications from the patients room upon discharge?
3) Do you store medications in patients rooms on all units or just units with high volume medication administration (i.e. ICU's/Oncology)

Thank you,

Randi

Would anyone be willing to share the build out in Epic of their sliding scale/correctional scale insulin careset? We currently are having nurses give the wrong strength of insulin because we currently have the correctional scale all built out under one insulin order with a dosage range 0-28 units and the doses to give in the comment section (low, medium, high scales).

Would anyone be willing to share the build out in Epic of their sliding scale/correctional scale insulin careset? We currently are having nurses give the wrong strength of insulin because we currently have the correctional scale all built out under one insulin order with a dosage range 0-28 units and the doses to give in the comment section (low, medium, high scales).

A recent near miss documented event highlighted that both our backup supply spinal and epidural supply kits contained a high dose EPINEPHrine 1 mg/mL 1 mL vial in addition to lidocaine. Our frontline supply kit offering on each is a custom kit that does not contain EPINEPHrine, but when this goes on back order currently we are subject to interfacing with the kits with both lidocaine and separate high dose EPINEPHrine to my understanding. These kits are made by BBraun and Smith Medical.

All,
I am interested to learn how institutions are preparing for the new epinephrine non-ratio labeled vials. Will you be changing your vials in your code carts and hospital wide all in one go or will this be in phases? My concern lies in having both the ratio and non ratio vials available especially in pharmacy.

Thanks!
Rachel

My organization recently went live with Epic. The labels designed by our IS team are terrible; the pharmacy medication labels are confusing, difficult to read, and lacking proper information I am looking for examples of pharmacy labels from other Epic users to share with our builders. Any examples would be appreciative.

Thank you!
Laura