

ISMP Medication Safety Alert!® Nurse AdviseERR Newsletter - 2022 Single Issues
The ISMP Medication Safety Alert!® Nurse AdviseERR is a digital newsletter for nurses who transcribe orders, administer medications, and monitor the effect of medications on patients.
Volume 20, Issue 1
In this issue:
- Pump Up the Volume: Tips for Increasing Error Reporting and Decreasing Patient Harm
- what’s in a Name? The -terone/-lutamide drug stem names
- Path to New Beginnings: ISMP 24th Annual Cheers Awards
- Perioperative assessment: Final extension is February 11, 2022!
- Obtain 1 hour of CE (continuing education) – FREE!
Volume 20, Issue 2
In this issue:
- 2022 Ushers in the Beginning of a New Era at ISMP
- Management of drug shortages with 0.9% sodium chloride, sterile water for injection, and EPINEPHrine
- Potential for severe cardiovascular effects when restarting cloZAPine
- Regular review of patient education material is essential
- Preventing lipid injectable emulsion (ILE) and VIPERSLIDE mix-ups
- Become an ISMP Fellow
Volume 20, Issue 3
In this issue:
- Survey Suggests Disrespectful Behaviors Persist in Healthcare: Practitioners Speak Up (Yet Again) – Part I
- Avoid using tuberculin (TB) syringes with orange caps
- Tubing spikes drop from intravenous (IV) bags in use
- Nonspecific PRN (as needed) medication administration
Volume 20, Issue 4
In this issue:
- Criminalization of Human Error and a Guilty Verdict: A Travesty of Justice that Threatens Patient Safety
Volume 20, Issue 5
In this issue:
- Addressing Disrespectful Behaviors and Creating a Respectful, Healthy Workplace – Part II
- what’s in a Name? The “-glutide” drug stem name
- Lacosamide label improvement needed
- Risky drug stem names
- Celebrate: Nurses Month – May 2022 | Nurses Week – May 6-12, 2022
- ISMP Medication Safety Alert! Nurse AdviseERR readership survey
Volume 20, Issue 6
In this issue:
- Challenges with Requiring Five Characters During Automated Dispensing Cabinet (ADC) Drug Searches Via Override
- what’s in a Name? The “vin-“ drug stem name
- New ECRI and ISMP Headquarters
- ISMP relieved by Vaught sentence
- Companies begin move toward full implementation of ENFit
- Infant deaths associated with medical tubing entanglement
- Atropine prefilled syringes with sealed syringe tips
- Just Culture scholarships
Volume 20, Issue 7
In this issue:
- Adverse Glycemic Events and Critical Emergencies
- Newsletter readers act upon ISMP recommendations
- Topical gel dispensed in an ENFit syringe given via gastrostomy tube (G-tube)
- Good catch! (mix-up between pantoprazole and etomidate)
- Hidden pork content in COLACE (docusate sodium) capsules
- Nominations open for Cheers Awards
Volume 20, Issue 8
In this issue:
- Prevent Errors During Emergency Use of Hypertonic Sodium Chloride Solutions
- what’s in a Name? The gab- or -gab- stem names
- PAXLOVID (nirmatrelvir and ritonavir) drug interaction
- Welcome to our newest ISMP staff member! Shannon Bertagnoli, PharmD, BCPPS
Volume 20, Issue 9
In this issue:
- Prevent Uncontrolled, Rapid Infusion Rates: Confirm Infusions are Connected to Pumps Before Opening the Clamp!
- Multi-chamber bag parenteral nutrition is not without risk
- Worth repeating… Norepinephrine left in a discontinued intravenous (IV) line administered as a bolus
- Accidental needlestick with EVENITY prefilled syringe
- “Shellfish allergy” may be a red herring
- Meet our three new 2022-2023 Fellows
- ISMP perioperative guidelines are now available!
Volume 20, Issue 10
In this issue:
- Explore Our Updated ConsumerMedSafety.org Website
- Trend shows increased nursing workload to address smart pump alerts for HYDROmorphone and fentaNYL infusions
- Your Reports at Work: Elimination of orange-capped TB syringes
- what’s in a Name? The -fungin drug stem name
- Scan before you flush
- Confirm tenecteplase indication and dose before use
- Please take our survey on tall man letters!
Volume 20, Issue 11
In this issue:
- Emergency Preparedness: Be Ready for Unanticipated Electronic Health Record (EHR) Downtime
- Patient drank albuterol nebulization solution.
- STS abbreviation results in a close call.
- Cheers Awards event and raffle
Volume 20, Issue 12
In this issue:
- Preventing Errors When Preparing and Administering Medications Via Enteral Feeding Tubes
- Clarification about the Do Not Crush List
- what’s in a Name? The “-cillin” drug stem name
- Survey about NRFit transition

ISMP Medication Safety Alert!® Nurse AdviseERR Newsletter - 2022 Single Issues
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