MSOS Discussion Board

Adult Hydroxocobalamin (Cyanokit) Prep / Administration for Vasoplegia

Valerie Tork's picture

Forums: 

Does your institution utilize extended duration infusion of cyanokit (hydroxocobalamin) for vasoplegic syndrome?

How is the medication infused (via smart infusion pump, gravity, other)?

If manufacturer provided tubing is not used, is a filter attached at any point in medication preparation or administration? If so, what size filter is used?

Thank you in advance!

Valerie Tork, RN, BSN, CCRN
Patient Safety Coordinator RN
University of Colorado Hospital

Priming SQ Port - Controlled Substances

Helen Yeung's picture

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Hello All,

We noticed that some controlled substances do not have sufficient overfill to prime the SQ port therefore prompting the providers to order extra dose that led to additional waste, or the nurses to override an extra dose on the pyxis resulting in narcotic discrepancy.

I wonder if anyone can share your practice on handling SQ port priming.

Thank you,

OR Infusion Pump Interoperability

Viktoriya Ingram's picture

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I have questions for organizations that implemented infusion pump interoperability with electronic medical records in OR (auto-programming and auto-documentation).

1. What EMR (e.g., Epic) do you use?

2. Do you use Anesthesia Epic Module or something else for interoperability in OR?

3. Did you have medication scanning in OR prior to the implementation of interoperability?

LAI Antipyschotics

Brian Mun's picture

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We're working on re-establishing our formulary for long-acting-injectable antipsychotics and currently developing a class review. In order to cover the most amount of patients while taking into account cost (we have 340b pricing) we're thinking of choosing Fluphenazine, Abilify maintena, and Risperdal consta. After speaking with our medical pysch team, we are also thinking of considering Invega Sustenna, Uzedy, and potentially Rexulti.

Just wanted to hear the thoughts everyone else had on their class review for choosing formularies.

Standard Administration Time for Basal Insulin

Manisa Tanprayoon's picture

Forums: 

Good Afternoon Members:

We are currently have a plan to implement a hard stop in our EMR that would require a POC fingerstick blood glucose result within 60 minutes prior to insulin administration. This hard stop would create the need for an extra POC FS between 9 and 10 AM before morning glargine administration.

We are considerinig changing standard time for "daily" insulin glargine (basal) from 10 AM to 12 PM. This avoids an additional POC fingerstick for patients and staff.

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