Looking to get some benchmarking data on ADC override rates (total % doses removed on overrride). Appreciate if you could share your #s. Thanks.

Hello
Are any institutions currently utilizing the Cactus, CsRx, or other controlled substance waste disposal systems?

If so, what do you feel are the pros/cons of your choosen system?

Best,
R. Bajwa, PharmD
Medication Safety Coordinator
Community Memorial Health System
Ventura, CA

Hi All,

Our organization is reviewing the possibility of creating nursing driven protocol for management of argatroban (dose titration based on aPTT) for heparin induced thrombocytopenia (HIT).

Please share your experience. Is it done at your institution? If yes, what obstacles have you encountered in implementing the nursing driven protocol.

I appreciate your feedback,

Thank you,

Agnieszka Pasternak

Attention MSOS Sig:

We are doing a survey of pharmacy personnel that use IV room automation to quantify its benefits in terms of safety, efficiency, productivity, and financial return on investment.

For those of you that use that information, I would ask if you could take a few minutes and complete our survey to help our team put data around this type of automation.

Here is the link and details to the survey, please cut and paste in your browser:

For Epic users, what route designation do you use for chorhexidine oral rinse? PO/Oral? Oral rinse? something else? Thank you!

We have seen a recent uptick in the ordering of vancomycin to be administered rectally as a retention enema. I haven't had much luck finding best practices for nursing procedure. Does anyone have a policy or resource they can share? I've reached out to Flexiseal (rectal tube) as this seems like the best option that I have found so far.

I am newly in my role as MSO and am looking for another registered nurse sitting in this position to look to for guidance.

I am a newer MSO and would like to know what electronic tool works best for reporting medication events. My Institute currently uses one tool for all events but I feel we would benefit from separate tools. Looking for feedback.

The mfr that provides Peridex is no longer making the unit dose (UD)cup. We do not know of another mfr that makes UD chlorhexidine. We use upwards of 1100 UD cups per month; we had originally planned on unit dosing it ourselves but cannot possibly keep up with this volume without letting something else go (i.e., not having a triage tech during critical times operationally).

Hello,
Wondering if anyone does IV lovenox at their institution and have information you're willing to share on what concentrations you prepare?
We're a children's hospital and we prepare 20 mG/mL concentration for all IV doses, and for SC doses LESS than 10 mg. We have request from hematology for lower concentrations. While the justification is sound we're struggling with data and even standards of practice in other places.

Thanks.
DiAnthia