At your hospital(s), in what situations are medication orders completely re-written (e.g., medication reconciliation at transitions of care)... in other words, how does your facility define a "patient transfer"?
Do you use a transfer medication order form (medication order set), or a medication reconciliation form?
Who is responsible for writing the transfer orders - the sending prescriber, or the receiving prescriber?
Are there any situations of patient transfer where medication orders are not re-written?

At the ISMP Intensive last week they talked about how unproductive a second nurse independent check is for subcutaneous insulin injections. We do currently use a double check but I am wondering what other facilities are doing. Pretty sure the nursing staff are not actually performing the check the correct way and we have created a policy that is almost impossible for them to follow..... If you are not using a double check, what are you doing to keep the patient safe??

Hello,

Hello everyone,

Hello,

Are there any large, national, pharmacy quality forums or quality programs that exist for Pharmacy? The surgeons have NSQIP (National Surgery Quality Improvement Program) , the Children’s Hospitals have SPS (Solutions for Patient Safety), and there are many other similar groups for other disciplines. I have not heard of anything that exists for institutional pharmacy. Such an organization would allow the pooling of data across many organizations, but also effectively benchmark for individual institutions as part of their quality improvement processes.

I am working to implement the use of locked boxes for narcotic infusions and would appreciate any experience had with:
1. Estimating how many to purchase
2. Determining where they will be stored on campus and how nurses access/request them

Thank you

Hi there, who out there uses green or thinner amber protect from light bags, instead of dark amber bags, to prevent labeling errors? Thanks!

Our organization recently shifted from saline syringes being dispensed/owned by pharmacy to them being stored in a pyxis and owned by med materials. Does your organization currently utilize BCMA when administering saline flushes? Prior to this conversion of ownership, we did, but this practice is now being challenged.

At our Mock TJC survey, the surveyor was comfortable with our peripheral tubing being changed every 96 hours but questioned the heparin bag hanging longer than 24 hours. Does anyone have a policy relating to this situation?

Thanks,
Olga Woloszczuk

What is your policy for dispensing and/or storing 23.4% sodium chloride on nursing units? Do you stock in ADCs? Do you allow this to be on override status? Do you monitor overrides to ensure scheduled doses are being pulled by patient and not override? Do you identify in some way that this is a concentrated product? Do you have a policy for heparin use in patients with delayed neurological deficit? Do you have an order set for heparin in DND?