Hello Colleagues,
We are experiencing challenges with continuous infusion tacrolimus, and are curious around your practices with dispensing and priming for administration.

A few questions.
-What type of line do you dispense it on from Pharmacy? (e.g. short set, primary, etc)
-Do you prime the line with drug, compatible diluent, or "other"?
-If priming with compatible diluent or "other", how does nurse prime?
-If you have peds, does your process distinguish from adults and if so, how?

Happy Friday!

Hello!

Our hospital is new at having a PGY1 residency (currently on our 2nd class) and also new at having a med safety pharmacist position (less than 2 years). Our med safety rotation for the residents is longitudinal over 6 months. Currently, it is a project-based rotation, and they also attend the quarterly med safety meeting.

Since the residency and med safety position are so new, I was looking to get some ideas as to what you have your residents do on your rotation.

Thank you in advance for all your help!
April

Does anyone with both Epic and Omnicell have a better way to manage patients who come in with their own medications that may also be stocked in the ADC. Background: ketogenic population that needs specialized (sugar free) formulations that we may not have in stock. If entered/verified incorrectly, the ADC leads the nurse to the formulary, stocked product that is inappropriate for this patient. Their specialized medication is being stored in a patient-specific tower bin.

Hello-

Wondering if any of the pediatric hospitals out there have some recommendations. We have a level 3 NICU and do not generally use Precedex, but had a request for it today. We really would like to do a 2mcg/mL concentration but have been unable to locate any stability information. Does anyone know of literature to support this concentration?

Thank you!

Diane Simko, Med Safety Coordinator

Looking for some assistance. Would you be able to share any policy or SOP for first dose administration/monitoring? References used?

Thanks so much in advance!

We have had some ADRs related to continuing SGLT2s inpatient related to euglycemic DKA. Has anyone been successful in restricting SGLT2 inpatient and would you be willing to share the criteria your facility uses.

Thanks!
Kelsie

Wondering if anyone else has run into this issue. Our dialysis unit uses ACD solution which does not have a bar code, which was identified with our recent review of bar code scanning compliance. How are organizations managing this? Our product is by Fenwal; is there an available product with a barcode? Initial thoughts are to determine if this can be an exception in our EHR to not require scanning, but is this best practice? Appreciate what others are doing. Thank you!

Carol

How do you handle ETCO2 alarm parameter orders?

Do you have them in a policy with an allowance to adjust e.g., per 10% or do you include them in an order or something else?

We are a Cerner hospital.

Thank you!
Lisa

Hello all,

In a recent ISMP Alert, there was an article on Alaris pumps and corrosion to the IUI causing communication errors. In response to this we started reviewing our cleaning and storage practices with our Alaris pumps. We reached out to BD to see how often the IUI connector should be cleaned but I was told this was dependent on Institutional policy and customers establish their own policies and procedures. I wanted to see what other hospitals were doing.