Hi All,

We are evaluating our current process of adding electrolyte replacement doses to 24hr supply of enteral formula in pediatric patients and are interested in the following:

1. Does your institution have pharmacy add enteral electrolyte replacements (e.g. NaCl, NaHCO3, etc) directly to 24 hour supply of formula to administer continuously? If so, what process is in place to handle appropriately?

We are a small pediatric hospital in NY and having issues with programming standard concentrations with Alaris. I was wondering if someone is willing to help us out, please.

We are trying to program standard concentrations like gentamicin 4mg/mL and Cefepime 40mg/mL in Alaris but according to Alaris the only way to program these weight-based pediatric entries is to use __ __ blank entries with limits programmed in the background.

Hi Everyone,

Does anyone have a definition of what a "not an opioid naive pediatric patient" is? We have a definition for an adult pt such as having been on morphine sulfate, hydromorphone but I was wondering if anyone has one for a pediatric patient and what doses of opioids will qualify the patient to be not an opioid naive pt.

We are in the midst of evaluating our process of what & how suppositories are supplied to nursing by pharmacy for our pediatric patients.

does your institution have a policy/procedure on how partial suppositories are supplied to patients (do RN's cut vs prepared by pharmacy)?

do you allow more than one suppository to be given to meet ordered dose (i.e. supp is 40 mg, dose is 80 mg- allow 2 supp to be given)?

what type of glycerin and acetaminaphen suppositories do you use- liquid or solid?

Thanks!
Lindsey

Curious to know if anyone has a protocol for pediatric IV fluid volumes based on weight or is everyone using liter premixed bags with smart pumps on any age?

Greetings,

We'd like to get a sense of when you are requiring a second pharmacist to double-check a medication in a child, when a first pharmacist has already verified it. Specifically:

Do you have a specific age where a double-check is no longer needed? If so, what age?

Do you have a specific weight where a double-check is no longer needed? If so, what weight?

Do you limit your double-check to particular medications? (Or exclude particular medications?

Thank you,
Dan Sheridan
OhioHealth Marion General Hospital