Hi,

Alvimopan REMS requires training for all staff involving in prescribing, describing and administering alvimopan meaning providers and the nurses need to be trained as well.
How do you keep track of provider and RN training attestation?
Did you build something in EHR to track that?

Thank you

We currently prepare patient-specific insulin detemir syringes in our sterile IV hood.

Staff have requested changing the process to prepare these subQ syringes outside the hood for convenience and to minimize traffic in and out of sterile areas. They argue that outpatients don't utilize sterile environments to prepare subQ syringes.

I am curious where other hospitals prepare insulin subQ syringes.

Would you mind sharing if your hospital requires the use of a sterile hood for subQ syringes?

Does anyone use icons on the MAR to designate Hazardous Meds to nurses? If yes, can you please share the images you use?

Do you have nursing policies or education on what to do when a medication needs to be administered off-schedule vs. rescheduled? This has come up as a result of wanting to narrow our EHR allowable window from 2 hours before/after due time to 1 hour before/after due time. Although this would align with best practices, there is concern for greater alerting and work for nurses and a need for more defined guidance for them in those situations. Thank you!

Does anyone have a process set up for nursing peer review? Our nursing leadership is interested in establishing this type of process and we are interested in hearing others experience if you have this process. Thanks!

Hello!

Our nurse managers want to begin a practice of having a 2nd iv access in place when a patient is on an insulin drip. Does anyone currently have this practice in your setting?

Hello colleagues,

Does your organization have time limit expectations defined in policy/procedure for pharmacist response to consults according to consult type?

Kind regards,
Megan Fragale, PharmD, MS, BCPS
Skagit Regional Health
Mount Vernon, Washington

Has anyone added Fortisite eye drops (fortified tobramycin-vancomycin available from a 503b compounder) to Formulary instead of in-house compounding?

I'm wondering for those who barcode scan enteral nutrition products, are they included on the MAR? If so, how do you organize the MAR, and have you seen any issues? If not, where is documentation and how do you incorporate barcode scanning? We are interested in exploring this in Epic, and appreciate any input from those who have already implemented. Thank you.