Good morning,

Have any institutions implemented any successful strategies or initiatives to reduce pump programming errors while pending interoperability? If yes, what types of initiatives? Additionally, if you can take another minute to answer the questions below, we would be very grateful!

Does your hospital have pump interoperability?
What brand syringe pumps do you use?
What brand large infusion pumps do you use?

Thank you so much for your time and contribution!

Good day all !

We are looking at our INR > 5 scores and they are meh.

One of the ways we monitor warfarin patients is through daily INR while inpatient.
There is some conversation to move that daily to weekly.
Can you tell me what your policy or procedure is for warfarin monitoring ?
Do you do daily INR checks while inpatient ?

thanks !
Laura

Greetings -

At my institution, we are currently experiencing an elevated rate of overrides from our PACU units. My PACU team informs me that overrides are unavoidable as they titrate IV analgesics based on patient response. For those overseeing this type of data, I seek your guidance. Should PACU areas be excluded from override data analysis? How can we manage the removal of narcotic analgesics when dosage requirements are variable and difficult to predict?

Thank you for your insights and recommendations.

Hello,

Does your facility allow IV haloperidol to be dispensed to all clinical units or restrict its use to certain areas only (e.g., ICU, telemetry)? Could you share your facility's protocol regarding the use of IV haloperidol if you have any (e.g., for management of acute agitation)?

Thank you in advance!

Sunny Ro

We have albumin on the "do not tube" list at our facility, but I recently discovered that other hospitals in the area are allowing the bag form to be tubed. Does your facility allow albumin to be tubed? I also found an article from 2017 that would support tubing (attached) Thanks in advance!

Hello,

We have interest in moving to the ASHP S4S high concentration furosemide 10 mg/mL (undiluted drug) however our compounding team is concerned about the lack of stability data in PVC bags. We know other medical centers use this concentration but none have been able to provide stability data after re-packaging into bags.

Thank you in advance!
Lauren

SPECIAL ALERT on Possible Mislabeling

ISMP has received a report of a manufacturer's premixed dexmedeTOMIDine bag packaged within an overwrap labeled as acetaminophen. Please read the National Alert Network (NAN) warning that contains safe practice recommendations:

https://home.ecri.org/blogs/ismp-alerts-and-articles-library/manufacture...

When it comes to intravitreal or intraocular doses, do you prefer dispensing them in syringes with or without needles? Additionally, for pediatric units, are parenteral medications typically dispensed in syringes with needles to nursing units? Do you draw the doses up with a filter needle? Share your practices and insights below!

Thanks,
Harriet

Hello all. I wondered if you could share the following for those who utilize technicians for med rec:
1. How many med rec techs do you have?
2. Do they primarily serve the ED/ a particular unit?
3. Who supervises these technicians> another technician/ pharmacist? Is this supervision direct or indirect?
4. What rights or capabilities do your techs have in your EMR> can they add, delete, and/or adjust anything in the med rec area of the chart or have limited function? Please elaborate as able.

Thanks for your feedback!

In order to get a ready made 2.5mg of oxycodone instead of nursing have to split, our pharmacy splits the 5mg tab and then unit-doses that as "Oxycodone 2.5mg." We are looking for feed back as to what the unit dose label should say. the names that we are between is just "Oxycodone 2.5mg Tablet" or
"Oxycodone 2.5mg (1/2 of a 5mg tablet)"

What is clearer?
What do you do in your facility to label split tabs?

Thank you