Bug Busters
Lab & frequency of monitoring use for daptomycin surveillance
What is CK and weekly?
Baseline INR must be within this time frame for current and naive patients
What is 24 hours and 14 days?
Application used to identify provider on service
What is Amion?
Software & machine used to pre-pack medications
What is PakEdge?
Dose of oseltamivir used for all dosing regimens
What is 75 mg?
Vancomycin trough should be ordered prior to this dose for q24h dosing
What is prior to the 3rd dose?
Pharmacists receive in-basket alert messages for patients on heparin with anti-xa levels of this level.
What is > 2?
Resource used to determine if dobutamine can be run on Neuro 5
What is IV Drug Grid?
Barcodes should be validated in these two places
What is Epic and Omnicenter?
IV levothyroxine can be delayed per CDTM for how many days if this lab is normal
What is 5 and TSH?
This test can be ordered per CDTM to help guide de-escalation of antibiotics
What is MRSA PCR?
This order action is completed when the decision is made to hold warfarin per CDTM
What is discontinue warfarin order?
Application used to request PTO
What is Workday?
Application used to generate controlled substance usage/transaction reports
What is OmniCenter RDP?
Maximum approved dose of IV/IM ketorolac
What is 15 mg?
This specific order is placed when vancomycin is active but dosing is on hold for clinical reason
What are initial warfarin dosing, dose adjustments, plans for holding warfarin, bleeding/thrombotic events reported, recommendations for warfarin reversal?
Application/Citrix Icon used to find formulary documents and other drug information resources
What is BJCNewsNet?
Functionality in Epic used to store recipes
What is Compounding & Repackaging?
This weight is to be used for IVIG dosing
What is IBW?
Name two disease states that may require dosing intensification beyond standard high intensity vancomycin dosing protocol
What is meningitis/brain abscess and augmented renal function (CrCl > 140 ml/min)?
Goal anti-xa for prophylactic enoxaparin and appropriate monitoring time frame
What is 0.2 - 0.4, peak anti-xa (4-6 hours after 3rd dose administration)?
Application/Citrix icon used to access CDTMs
What is Policies and Procedures?
Name two classifications of medications that should not be self medication for transplant patients
What are controlled substances and PRN meds?
Name 3 things that are assessed when verifying neonatal TPN per Neonatal TPN Adjustment CDTM?
What are osmolarity, Calcium/Phos ratio, minimum volume, multivitamin volume?