Patient Safety News
November 2020
Transport of COVID Patients
- Engage with transport people and confirm we are taking correct route.
- Appropriate elevator for both MICU and 6 BT is the set next to VIR 9.
- 6 BT – RN team will bring patients down; we will take up post recovery in OR.
Covid Transport & Planning Pathway Brief COVID Transport User Guide
We do not recommend retesting asymptomatic, previously COVID positive patients within 90 days.
Code Sepsis
Pre-Op Pregnancy Tests
- If ordered, we MUST wait on results.
New Subglottic Endotracheal Tubes
- These will be used preferentially for intubation during codes in the hospital.
- They will be used rarely in the OR
- Only for patients with an anticipated >48 hour intubation.
- These ETTs are located in selected ORs and in the anesthesia work room. Currently, they are available only in adult sizes.
- Please contact Dr. Sam Blacker for more information.
Centurion NG Tube Securing Devices
- Our ICU’s have seen an incidence of pressure ulcers related to NG tube securement.
- Please watch the short <2 minute video below about the use of the Centurion NG tube securement device.
- Please utilize this device with any planned inpatient NG tube placement.
Timeouts
Hard stop; Speak up!
Drug Shortages – November 2020
Local Anesthetics with Epinephrine
- Combination vials of local anesthetic with epinephrine are once again on back order.
- We have already run out of the following products:
- Bupivacaine 0.5% w/ epinephrine 1:200,000; 30 mL vial
- Bupivacaine 0.25% w/ epinephrine 1:200,000; 30 mL vial
- (Supply limited) – Lidocaine 1% w/ epinephrine 1:100,000; 20 mL vial
- Adequate supply of all plain bupivacaine and lidocaine products.
- Should OR’s need to combine epinephrine with plain bupivacaine/lidocaine, please feel free to call OR Pharmacy for Calculations Tip Sheet or assistance.
Chlorhexidine 0.12% cup
- 5 mL cups on backorder due to nationwide recall.
- Have been replaced with 15 mL cups in all Pyxis machines.
Cisatracurium
- Reserve for patients with poor renal/liver function.
- Stock centralized in MAIN-OR Pyxis fridge for extended expiration dating.
Gelfilm
- Next release date is December 2020.
- To obtain Durepair, please reach out to Materials Supply Chain.
Drug Shortage information can also be found on the PSQI SharePoint site (available only when connected to the hospital’s secure network/wifi).
