hello!

At your institutions, if a patient is NPO are all short acting insulin orders discontinued or are they left on the MAR with either a communication order or verbiage in the ERX guiding RNs what to do?

Currently at our institution, insulin orders are left on the MAR but in the admin instructions is the verbiage "nurse to adjust % of insulin as follows: 100% meal eaten or to be eaten give 100% dose, 50% meal eaten or to be eaten given 50% meal dose, 0% meal eaten or NPO give no meal insulin (may use sliding scale insulin)".

Thank you in advance!

Hello,

We had a request from palliative care to compound morphine gel. We wanted to see how other hospitals operationalize it. Would love to see some suggestions on the following:
- How to dispense it? Some use small jars, others use blister packs?
- What directions are provided to nurses as to how much to apply to the wound?
- How to discard any extra amount that is left? Does anyone use CsRx to dispose of the unused amount?
Any help is appreciated.
Thank you
Viktoriya

Does anyone use Bar code Scanning and have a difficult time with Breo-Ellipta? It is consistently on our list of problem meds for scanning consistency ( reposting for contuinued issues)

We are re-evaluating our chemotherapy and non-chemotherapy extravasation policies to look for optimizations in the process and antidote management.

Would any institutions be willing to share their policies here?

Thank you in advance!

In our infusion area we have heard complaints from patients about IV push diphenhydramine and/or dexamethasone being pushed too fast. After evaluation, the nurses are appropriately pushing over appropriate durations per the literature, but this often still feels too fast to the patient. Patients report drowsiness, lightheadedness, and restless leg when drugs are being administered. Some patients receive diphenhydramine as an IV piggyback which seems to help, but this is the exception not the rule.

Hi What BUD do you use for cyclosporine 0.05% vials once their foil pack is opened?
NDC: 0378-8760-98

Thank you for your input!

Are there any organizations/sites that have had success in standardizing or protocolizing anticoagulation bridging processes? We are finding many inconsistencies despite published guidelines and hoping to standardize/protocolize for consistency.

Hi everyone- Our NICU uses TPN 2000 to enter TPN orders and then these orders are faxed to the pharmacy where our pharmacists transcribe these orders into Epic. We have no available scanner in NICU currently. Does anyone else have a similar TPN process where they are leveraging Epic to avoid a manual operation?
Thanks!

Does anyone have ideas of PGY1 pharmacy resident major project ideas that are medication safety focused. I'm struggling to come up with ideas. Thanks!

Our L&D unit is looking to implement the Creche Rapid Response Unit (RRU) Cart and we are looking for any procedures sites may be using for monitoring medication use/expiration and the fridge temps. Thanks!