Dear colleagues,

If you have a few minutes, would you please tell us if you are having any trouble scanning Exparel? We are curious as someone reported to us that their system is not able to scan Exparel's barcode as it contains a large amount of characters. We contacted the company but thus far no feedback. We are doing data gathering all the same.

How do you enter meds intended for the fetus in utero?

Are they entered on the mother's chart, or is there a separate chart created specific for fetal med administration?

thanks

Susan

Does anyone have an algorithm for what medications are stored in pyxis as well as a process for frequent review of inventory that they are willing to share?

Sean O'Neill

Medication Safety Officer

The Children's of Philadelphia

Do you have standard heparin concentrations for IR thrombectomy procedures?

Our IR specialists would like to be able to infuse 300-500unit/hr, but our therapeutic heparin concentration of 100unit/mL yields only 3-5m/hr, so they run an extra NS at 30mL/hr through the side arm of the popliteal sheath.

Do you allow specific heparin concentrations for IR procedures?

Does anyone have a procedure for mixing irrigation solutions?  Do you mix in irrigation bottles or in IV bags?  These would include chest tube, bladder, and wound irrigations.

thanks

We are reviewing our PCA respiratory monitoring for our PCA patients.  We have our order sets divided into a standard(routine) and complex patients (population-on chronic narcotics, hx of OSA, etc. )

We would like to hear from across the country how you monitor patients respiratory status on a PCA.  Do you use oxygen or capnography, or both?  If so, is it on select/complex/high risk or all patients?

Thank you for your response.

Sheila Lukito, Pharm D and Tanya Rizzo, MD

UW Medicine - Valley Medical Center

We are in the process of developing a Post-Op Nausea and Vomiting prophylaxis protocol.  If anyone is willing to share your organizations policy or what your institutions are using for Post-Op N/V prophylaxis I would be very grateful.

Thank you.

We will be testing the forum system for the next few hours. We apologize for any inconvenience this may cause you. Thank you the MSOS Team

*Has anyone implemented a so-called Stop the Line approach to dealing with medication safety events? * If so, would you be able to share Procedure documents, checklists, and/or lessons learned? We are trying to choose a model to emulate. Thank you so much, Erica Erica Fredette, PharmD, BCPS

Our Radiology Dept. has asked Pharmacy to take over dispensing of contrast media to providers in the OR setting. We are debating whether to require a direct order from providers including the intended use. This is in light of a recent error at a nearby hospital where the wrong contrast product was given intrathecally. How does your institution handle this?