Entering and making pediatric drips for pharmacists working in an adult hospital can be a real sphincter tightener. Pharmacists that aren’t accustomed to working with pediatric patients feel a little bit uneasy when an order shows up for a customized dopamine, dobutamine, etc. I remember working in a pediatric facility where we did this kind of thing all the time and no one gave it a second thought. We used a combination of two standardized concentrations, hi and low, for each commonly ordered drip. For code blue situations we often used the “Rule of 6’sâ€, which is now discouraged by the Joint Commission.
To combat the dangers associated with creating pediatric drips from scratch, Pharmacy OneSource has created a product called Accupedia.
“Accupedia solves challenges of integrating standardized concentrations while adding additional safeguards to protect your patients. One-button optimization of complicated drip order sets minimizes fluids and maximizes dose based on preset algorithms developed by the University of Maryland. A comprehensive, clear order sheet is produced for each drip – including patient specific titration charts.
BENEFITS:
• Improves medication safety in PICU/NICU
• Eliminates incomplete, erroneous and illegible orders
• Facilitates speedier, yet well-informed ordering decisions
• Integrates standardized concentrations into order workflow
• Optimizes drip orders for fluid load
• Facilitates compliance with Joint Commission recommendations
• Eliminates need for the “rule of six”
• Simplifies historical auditing of concentration changes
• Simplifies nursing job of titrating drips
FEATURES:
• More information at the time of prescribing: overall fluid status, standardized drip concentration list and safety-driven decision support… all on one screen.
• Fast and easy to use and to learn
• Fully customizable
• ADT patient interface
• Patent pending technology developed at the University of Maryland
• Drip orders driven by customizable “encyclopedia” of standardized concentrations
• Customizable, pre-set concentration sets by drug, diluent and service area
• Speedy, yet accurate, drip order set creation
• Real time feedback of fluid load as order set is created
• Easy to read, ready-to-print order form produced
• Automatic generation of titration list for each drip
• Double-sign off on concentration alterations
• Safety-driven decision support around concentrations, fluid and dosing
• Hard and soft stop alerts with optional override settings
• Full audit history of changes and drip orders
• Full service set-up and ongoing support
I’m definitely checking out the Pharmacy OneSource booth, #830, at the ASHP Midyear in Vegas next week.
Leave a Reply