Infusion Library Preparation |
• Pharmacy and Smart Pump Library Task Force review entries and reports for opportunities. |
• New medications, changes, updates, and deletions are catalogued for discussion. The changes are approved by the task force. |
• Recommended changes are shared at all facilities within the Pharmacy and Nursing groups. |
○ Pharmacy process: |
■ Ensure all changes are in line with the Intravenous Medication Guidelines and medication order entry complexes. |
■ Discuss changes at the acute care clinical pharmacy meeting and with the pharmacy leadership team. |
■ Use the Pharmacy & Therapeutics Committees at affected facilities to review and endorse changes. |
• Once library changes are finalized, the library materials are shared with the Nurse Education Committee for development of materials for nursing roll-out to be completed prior to planned library update. |
• The Drug Library Task Force (a group of nurses responsible for library review and approval), Pharmacy, and Clinical Engineering work together to determine a date for the update. |
• Final library check is completed: |
○ Attendance at Task Force meeting is mandatory. If unable to attend, an alternative person must be sent. All approval changes will require validation of upcoming changes by Clinical Care Area representatives. |
○ Task force to meet at least 2 times before changes are implemented. |
○ When changes are entered into the library a double verification process occurs within the Pharmacy. |
|
Infusion Pump Drug Library Update |
• Pharmacy, Nursing, and Clinical Engineering work to coordinate the date for the update. |
○ Clinical Engineering and Information Services push the library to the server and provide an updated library file to be posted on the Nursing Sharepoint Site. |
○ Clinical Engineering controls process of identifying and performing the updates. |
○ Pharmacy makes changes and communicates them across the facilities. |
○ Nursing supports the update process. |
• Communication continues until the update is complete. |
|
Post Drug Library Update |
• Any issues identified during the update are taken to the Task Force and Pharmacy. |
• All staff monitor new library for issues or the need for changes. |