We are reviewing our current workflow surrounding OB epidurals and would like insight regarding workflows used in other hopsitals.  If you have time to answer the following questions - I would greatly appreciate it! 

Do you have MDAs, MDA residents, or CRNAs placing OB epidurals?

Do your MDAs/CRNAs enter/place their own OB epidural orders in the EMR or is this done by the bedside nurse?

 Are these orders placed before or after the epidural is in place (looking at this question from a majority of the time)?

Wondering if others could share policies/guidelines for storage/use of Baxter 25 and 50 mL minibags provided in multi-packs on patient care units. Once the overwrap is opened, do you have process for dating or using the bags within 24 hours?

Can you describe the mechanism in which your organization assesses the quality of medication reconciliation? We are able to capture the completion of med rec in our EHR but this is only serving as a quanitative measure and we still have see vulnerabilities in the process.

Thanks

Sean O'Neill

The Children's Hospital of Philadelphia

Good day all,
Does anyone still use Carnoy's solution? If yes, do you have a specific policy with regards to safe handling of this product that you would be willing to share?
We have one physician who still uses it and our Occ Health is requesting a specific handling policy for this solution be put in place.
Thanks in advance!

I am curious if anyone has a form or guide to help students or residents with event investigation. Some sort of tool that will help them with all aspects to research and be thorough in investigation. Thanks! ---Jeff

We have a smoking cessation order set which can be used for smokers while hospitalized, but there is no prompt to the provider to order. I am curious as to whether you have had success with this nicotine withdrawal prophylaxis at your institution? 

Please advise, and thanks,

Rebecca Prevost, Pharm.D.  Florida Hospital, Orlando, FL

Does anyone have a Na-bicarb formulation for feeding tube administration they use for renal wasting in infant population?

What is your practice for handling medications in code carts that are brought into isolation rooms?

Does anyone have a CII safe policy/procedure that they would be willing to share?

How are institutions handling the tendency for ophthamologists to use one bottle of eye drops on multiple patients? How do regulators view this practice?