Hello!

We are working on how to structure policy around use of PCAs (and other infusions) while patient may be off the unit.  
-If a patient has a PCA, do you allow the patient to go off the patient care unit? Are they accompanied? If so, what is the qualifications are required for someone to accompany the patient?
-For patients on other continuous infusions that may be high risk (heparin, insulin, etc) do you allow them to leave the unit? If so, what structure or limitations do you have?

Thank you!
Jess

Hi all

My institution is currently is currently conducting a gap analysis for pediatric continuous infusions in accordance to ASHP S4S recommendations. While conducting the analysis we have found a significant limiting factor in us trying to slim down the available concentrations are the extremely low weight NICU patients where we need dilutions so Alaris can administer. Our current practice is to dispense in either 30 or 50mL syringes to which Alaris has a minimal rate of 0.1mL/hr

We have had multiple complaints about adenosine injection potency in the last week. This has been across multiple locations, lot numbers, and two different manufacturers - Mylan and FK. Has anyone else had any issues reported? Thanks.

Walton Gibbons

Hi all,

Are your nursing units reporting issues with air in line alerts for your smart pumps? My institution received multiple reports of smart pumps alerting and worked with the manufaturer to trial BBraun ASV valve tubing. The number of alerts were reduced but did not stop after this change. I'm curious to see if other institutions have made successful changes to reduce overalerting of pumps?

Good Morning MSOS group,
This may be a big ask, but I was wondering if anyone within this listserv has a well thought out process for medication reconciliation implemented at their health system? Does the policy identify elements required to conduct a proper medication reconciliation?

Please include if there is individual who may be well known in this field or a professional organization that has additional resources.

Thanks,
Jocelyn

I am wondering if anyone has built safeguards in place to alert a prescriber or pharmacist that the amount of fluid being ordered is likely inappropriate for the size of the child.

So for example, something that alerts the prescriber or pharmacist that 1000 mL of fluid is not appropriate for a 9kg patient.

Safeguards could involve custom FDB rules, custom EMR build, tools to support appropriate ordering, etc. Thanks for sharing any work you have done in this arena!

Historically we have been compounding an irrigation containing antibiotics and povidone-iodine solution for breast pocket irrigation during surgery. We are stopping this practice due to the povidone-iodine not being a sterile product. We are receiving significant push back from some surgeons. Curious about what others are doing if surgeons are still requesting this type of product? Thanks.

Historically we have been compounding an irrigation containing antibiotics and povidone-iodine solution for breast pocket irrigation during surgery. We are stopping this practice due to the povidone-iodine not being a sterile product. We are receiving significant push back from some surgeons. Curious about what others are doing if surgeons are still requesting this type of product? Thanks.

Dear colleagues.

I am looking into the issue of misaligned lines and there isn't a lot of information out there save for the ontario lab study and PA article from approx 10 years ago. I am hoping you can help me get some more recent data as relates to this issue.

I realize your time is valuable but if possible, please see attached short survey (only 6 questions). The survey won't collect names or emails but if you'd like to share more info or insights, please feel free to message me.

Thank you and I highly appreciate your responses!!

Hello,
We are looking for a premix peripheral parenteral nutrition option we can add to our formulary and wondering what everyone is using.
Thank you.