Another interesting NICHQ list serve posting for our pediatric people. Have fun with this one!!!
Do you all want me to keep sending these to the list serve as they come to me or are you going to subscribe on your own? Betty M. Rozier, President I.V. House, Inc. 7400 Foxmont Drive Hazelwood, MO 63042-2198 Toll Free: 800-530-0400 Phone: 314-831-9990 Fax: 314-831-3683 E-mail: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> Website: www.ivhouse.com <http://www.ivhouse.com> -----Original Message----- From: Terry Hammons [mailto:[EMAIL PROTECTED] Sent: Monday, December 05, 2005 1:58 PM To: nichq-qi Subject: [nichq-qi] Re: Medication Calculations or bust Perhaps enlist the help of ISMP or the hospital pharmacists' organization? Terry Terry Hammons MD Sr Vice President, Research and Information Medical Group Management Association 104 Inverness Terrace East Englewood, CO 80112 (303) 397-7862 toll free (877) 275-6462 x862 fax (303) 643-4427 email [EMAIL PROTECTED] >>> [EMAIL PROTECTED] 12/05/05 9:41 AM >>> For all you 'intense people' out there.........remember when you were a lowly Intern and/or Resident and had a sick patient who deteriorated such that they needed a drug like dopamine. The next fun part was having to make the darn solution and that was no easy task but immediately required everyone on rounds would take out their old calculator (or abacus depending upon your age) and start to calculate the amount of drug to go into a diluent (based on a 'Rule of 6' formulation) so that everyone knew how many ml's per hour it took to deliver an amount of mcg/kg/min (funny how the amounts would always be different depending upon which calculator one used....). Oh the joy!!! But oh the errors!!!! Well it is going to be a requirement soon (year greater than 2006) for these same continuous drug infusions (i.e. dopamine, dobutamine, fentanyl, etc...) being used in a Neonatal or Pediatric or Cardiac Intensive Care Unit setting to be infusions that are no longer mixed using a "Rule of 6" but rather based upon a 'standard concentration' (so that there will be no need to mix using calculations). Well, this issue has been a bit controversial but is being implemented for a safer medication administration process (we hope). Now the problem is that no one has decided on what those 'standard concentrations' should be, yep you guessed it - 'depending' upon what organization you are at, that 'standard concentration' will be exactly different from the next guy's!!!! Oh the joy!! So my question is this ---- why not make a National Standard Standard Concentration for each drug that would be the Standard for each drug? (the medication equivalent to having the Academic Committee for Committees) ------- Could we do that? Could each of you query your intensivists/neonatologists/hospitalists/other-ists to see what 'standard concentrations' they are using? If they could send me what they use I will gladly summarize the data (drug - standard concentration - setting) and report it on this listserv for all to share? I would appreciate it and it would be a great test on how we could all sing kumbaya Steve "will never get rid of my pocket protector" Lawless Nemours --- You are currently subscribed to nichq-qi as: [EMAIL PROTECTED] To unsubscribe send a blank email to [EMAIL PROTECTED] --- You are currently subscribed to nichq-qi as: [EMAIL PROTECTED] To unsubscribe send a blank email to [EMAIL PROTECTED]
