I would like to ask what nursing monitoring parameters (both frequency and type of assessments and for how long these need to be repeated for) your organizational policy outlines for patient-controlled analgesia (PCA) therapy—specifically for demand-only PCA as well as continuous infusion + demand PCA.

We are currently revising our policy and are interested in learning what other institutions require to ensure PCA safety while also minimizing unnecessary nursing burden.

Hello MSOS,

We are looking to optimize the language that we currently have on our MAR around holding anticoagulation prior to invasive procedures/surgery. This is not a one-size fits all plan, and we've changed the wording a few times over the last 5 years.

Does your site have MAR language for holding anticoagultion? If yes, would anyone be willing to share?

We are looking at strategies to help wrong route and wrong dose.

ANyone have any information regarding epi-rite syringhes ?
Error reduction ?
Still able to give IV ?

thanks in advance

HI All
Does anyone with Epic allow Pharmacists to be the second sign on high alert meds? IE heparin infusions, insulin infusions, thrombolytics? We are exploring whether to allow this capability for our ICU and ED pharmacists.

Thanks!

Hi all,

I’m looking for insight from other institutions regarding a recurring anticoagulation workflow challenge with CRRT (Prismaflex) in our ICU.

Background
Our nephrology team often requests pre‑filter heparin anticoagulation using 1,000 units/mL heparin in a 20 mL syringe attached to the Prismaflex syringe pump. The standard dose is 500 units/hr, but occasionally providers request lower rates (e.g., 250 units/hr) due to bleeding risk or per nephrology’s preference.

Hi everyone,

We have request to have ketamine for RSI as override- able in our Pyxis specifically in the emergency room and ICU setting but curious how other hospitals provide ketamine for this indication?

It has long been the standard that no IV bags with permanent marker written on them can be used. Has anyone seen any recent studies or guidelines on if this is still the case? Most articles I've found are from 2014 or earlier.

Would love to read any more recent articles anybody has found.
Thanks!

Hi all-
Looked through past threads and could not find a query related to this particular bladder irrigation topic. Hoping someone may have come across an approach that works.

Hello,

Does anyone use epic insulin calculator for sliding scale insulin, have multi patient insulin vials and use omnicell? If so, can you share your workflow for dispensing and administration?

Thank you,
Jess

Recently our system clinical team is proposing a standardize concentration for both medications to 15mmol/100mL
As the MSO I am pushing back d/t the LASA and dangers associated with
Potassium Phosphate and Sodium Phosphate mix up

Anyone with any experience in this standardization type where both are the same concentration 15mmol/100mL ?
Any ideas ?
Any errors ?