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?

I was wondering if anyone has done an FMEA on computerized nursing order entry? We implemented CNOE in March and have had several errors. I was wondering if anyone has identified areas of risk and/or corrective actions. Anything you could share would be much appreciated.

Thank you!

Do any of your hospitals allow nursing staff to pull more than 1 patient's medications at a time from an ADC?

Thanks for your input!

Is anyone willing to share their policy on pain management that has been updated with the March CMS S&C instructions about IV opioids (monitoring, assessment, etc)?  We are working on ours.

Thank you!

Our facility is implementing the new Hospira Sapphire pump (replacing the recalled GemStar).  The pump has 'smart' technology and I am in the process of building the drug library.  Is anyone using this pump for pain management and/or epidural infusions?  I would love to talk to someone about how they built their library. 

Thanks!

Laura Herbrechtsmeier

I have seen a growing trend for health-systems to extend their automatic stop order (ASO) policy for routine/maintenance medications beyond 30 days.  Some have even elimated ASOs altogether.  This seems reasonable if prescribers are thoroughly reviewing the active med list on a daily basis.  In my experience, this review is not done consistently and/or accurately.  What is the ASO policy at your institution?  I will be happy to compile responses and return to participants in this forum topic.

Please see article on feeding tube system changes (new connectors) in this morning's ISMP newsletter.  Really important that med safety officers stay on top of this. Finding that many of our colleagues are unaware of the forthcoming changes starting 4th quarter this year.  Here's the article. Drop into browser.

http://www.ismp.org/newsletters/acutecare/showarticle.aspx?id=86

Mike

I am sure you all groaned when you saw the subject line!

I would love to hear some advice on how to handle U-500 insulin patients who insist on using their own insulin in the hospital.

For those of you who are utilizing inpatient CPOE, do you still have prescription pads available for providers to hand-write prescriptions ?  Thanks in advance for any comments or suggestions, Rebecca