Our inpatient C Diff rates have been creeping up. We are currently trying to use a new algorithm to go about testing via rectal swap for colonization purposes vs stool culture. Anyone having this issue? We empirically treated a patient with Vanc OS for 10 days because we inadvertently tested a stool culture because he was having >3 loose stools and he was positive. However, we are not resulting him out but we are treating him.

Our inpatient C Diff rates have been creeping up. We are currently trying to use a new algorithm to go about testing via rectal swap for colonization purposes vs stool culture. Anyone having this issue? We empirically treated a patient with Vanc OS for 10 days because we inadvertently tested a stool culture because he was having >3 loose stools and he was positive. However, we are not resulting him out but we are treating him.

Hello,

I am reaching out to see what other institutions are doing with methotrexate patient/family education and what they have implemented to meet ISMP's Best Practice # 2. How do you handle patient and family methotrexate education? How do you handle readmissions? If a patient is readmitted wihtin 90 days, 6 months or 1 year do you re-educate? Would be interested in any SOPs you have to share.

Thank you,

Miheret

Does anyone have any experience with setting up Alpha Gal Screening in Epic?

Can anyone share what their facility's standard duration of administration is for neonatal lipid infusions?

I am looking for stability data when heparin is added to dextrose 12.5%, 15%, or 17.5% IV bag in a NICU setting.

Hi everyone, does your institution have pharmacists verify contrast / omnipaque orders?

Hey all,

Wanted to see if anyone else has encountered retail / ambulatory pharmacies requesting indication for use / ICD 10 codes / Diagnosis for controlled substances. We've started receiving this request locally and have been informed that some of the major retail chains may have implemented new policies requiring it.

Has anyone encountered this? If so, what have you done to help reduce the number of calls from retail pharmacies for clarifications?

Any info would be appreciated!

Hi,

Could you please share your process for dispensing compounded inhalation and irrigation medications when the total volume is less than 50 mL? Specifically, I would appreciate details on the type of container or syringe used for dispensing.

Thank you,
Casey

What is the practice at your organization for subcutaneous administrations that are longer than 5 minutes?

For example, if you look up Rystiggo in Lexidrugs, it explicitly calls out use of an infusion pump.

If you look up Phesego, it calls out 5-8 minute administrations, but no reference to a pump from what I can tell.

Are you putting anything greater than 5 minutes on pump similar to IV medications? Or are you going med by med per their IFU for subcutaneous?
Thanks in advance,
Stacie Ethington MSN, RN
Nebraska Medicine