By the Kilo
Alaris-Pump it Real Good
Spot the Error
When Epic Met Alaris
100
A patient weighs 2.5 kilograms and has a urine output of 42 mls over 12 hours. This is their urine output in mls/kg/hour.
1.4mls/kg/hr
100
For IV fluids that do not match an Alaris fluid library name, select this new option to provide a guardrail.
NICU-Custom fluid
100
What area of opportunity do you see?
Chux pad between PICC and Penrose
100
If this is not done when infusion or medication is complete, there is potential for data to flow into the incorrect chart.
Disassociation
200
You receive a chem result of 43 on your NICU patient weighing 900 grams. You receive an order for a D10 bolus of 2mls/kg. What is the dose volume?
1.8mls
200
Based on this order, what should be entered in the space highlighted below.
0.08mg/kg
200
What's wrong with this image? What do you anticipate?
Leg was bent
2nd image below, no changes were made
200
Navigate here when you want to review and verify rates, doses, and volumes for a patient's infusions
Infusion Verify
300
Morphine bolus from drip 0.1mg/kg
pt weight 2kg.
Morphine gtt 10mg in D5W 20ml (0.5mg/ml) infusion <5kg
What is the volume of your bolus dose?
0.4mls
300
Name three of the commonly used medication drips that have new "low weight" concentrations for patients < 5kg.
Morphine, Midazolam, Octreotide, Epinephrine, NorEpinephrine, Insulin, Fentanyl, Argatroban
300
What is it and what is missing?
Replogle, Anti-reflux valve
300
These 2 commonly used products are considered "out of scope" for the Epic/Alaris integration.
TPN and Blood Products
400
You are caring for a 2.5 kg infant that was on Esmolol 10 mg/ml in NaCl infusion <5kg. Current dose 100 mcg/kg/min. You have an order to increase the rate to 150 mcg/kg/min. What is the new rate?
2.25mls/hr
400
Identify what is wrong with this situation?
The wrong concentration was selected.
400
Identify the problem and solution.
Order: -20 cm Wall Suction: 20mmHG
Problem: Orange indicator not present
Solution: increase wall suction to 80 mmHg per policy
400
During one of these scenarios, pump scanning in real time is not possible.
No order (Emergencies) & Meds not verified by pharmacy (over-rides or new orders)