Hello Med Safety colleagues.

Our institution currently uses norepinephrine 4mg/250ml (16mcg/ml) and 16mg/250mL as our standard and maximum concentrations, respectively.
Unfortunately, due to the number "16" associated with both, we have had multiple pump errors reported.
We do not have pump integration at this time, and we dose norepi in "mcg/min."

Hello colleagues,

We are consistently seeing errors with extended infusion antibiotics NOT being ordered for the appropriate administration duration. We are an Epic institution and have two orderable options (i.e. Zosyn IV and Zosyn IV Extended Infusion Panel).

Does anyone have any effective solutions to assure accurate ordering? Thinking additional language in the orderable display name to target use or order instructions?

Thank you,
Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health
Mount Vernon, Washington

Does anyone have a policy and/or a procedure on how to handle patients on IV bisphosphonates? How long do you have patients wait between dental procedures and infusions and what steps have you implemented to prevent patients from receiving these medications too soon after a dental procedure?
Thanks
Lindsey Eick

Has anyone transitioned to sending oral solutions in Enfit oral syringes only. Including repackaging unit dose oral cups supplied by manufactures to assist with oral administration at the bedside?

Our organization has received concerns from providers around patients with low math literacy having difficulty properly understanding fractional doses in the medication SIG. The way Epic compiles the SIG uses a numeric fraction and a plural unit (i.e. tablets). This has caused patients to take the incorrect dose of their medication.

Our IT team found on Galaxy the ability to translate the SIGs into patient-friendly doses. The Galaxy article calls out that the settings do not apply to doses that are volume based.

Hi, all,

Curious to learn more about how others are approaching this shortage. It seems our substitution amongst Brands is becoming more limited as the shortage expands.

There are many helpful insights directly from ACOG; however, it is unclear that supply will replenish before additional measures may be needed. Has anyone explored the concept of repackaging the 15,000 units/13 mL Liquid for Injection per USP/Stability information (does supporting information exist)?

Hello,
Wondering if anyone has established/considered a standard QPM time for enoxaparin prophylaxis administration. We have typically gone with daily (0900) but got a request from providers to change to a standard PM frequency to avoid delaying procedures if a dose was given in the AM.
Thanks for your thoughts!
Erin

Just curious if anyone has any creative ideas for differentiating, labeling, or packaging the NaCl 3% vs 7% inhalation pillows? The percentage is not the easiest to identify, for the 3% or 7%. Labeling with the barcode already seems to be challenging due to the shape/size.

Attached is a picture of what we currently do, but just wondering what others are doing to compare and see if something else will work better.

We are looking to compare stewardship best practices for PCAs, if anyone is able or would like to share?

Is the PCA completely reconciled when stopped or removed? (Container amount - Administered amount - Waste amount = Zero)
How do staff measure waste?
How are variances escalated?
What is the frequency of documenting pump history? Is it done with a witness?

A few questions, though certainly not comprehensive. Whatever you can share is appreciated.

Within your Diversion monitoring programs- who is involved in follow up with staff members for events that meet the need for investigation of poor practice versus potential for indications of diversion.