Hello Everyone,
We are looking to standardize our process for epinephrine for the use in anaphylaxis.
Would love to see if other hospitals have a virtual epinephrine anaphylaxis kit, physical kit or epi pens.
Please share as to your process/practice and what you have in your hospital. Please share what your kit contains if possible.

Thank you,
Viktoriya Fridman, Pharm.D.
Medication Safety Officer
Ocean University Medical Center
Brick, New Jersey

Hi,

Does anyone mind sharing their Standard Administration Time Policy? More specifically a policy with standard times as well as guidance to get back to scheduled time if medication is given early/late. We have a lot of "adjust time" medication messages in EPIC which leads to medications being administered at all hours of the day. Looking for to get medication administration back on track to standard times to help with nurse workflow and better pharmacy efficiencies with regard to medication delivery.

We're seeing lots of MAR Holds when ED boarder patients (some are being held up to 36 hours) need home/inpatient meds... and subsequent med omissions errors (and provider/nurse interruptions) when MAR Holds aren't released. Besides education, has anyone had success with addressing this issue? Any tips? Thanks

Our in patient AHD unit is looking for a standard process for medication holds before AHD, specifically antihypertensives. Do the nurses each time call the MD for hold orders or is there a protocol in place? Thank you.

Hello MSOS members,

I am hoping to get some insight from institutions who handle propofol as a controlled substance (whether it is out of precaution or because required by State law)

We received concerns from our anesthesia colleagues that because propofol is fully locked as a controlled substance it is harder to access from the AWS in the event of an emergency (e.g. laryngospasm).

Our initial thoughts for a solution is to have kits that could either be signed out from pharmacy or stored in the AWS and replenished as needed overnight.

Can anyone share a policy with me that they use to define what goes into an order set? I am being asked to write a policy on how to review, approve, and what gets placed in an order set. Thank You.

I am looking into adding a required dual signoff at handoff for high alert meds that require dual check for initiation, titration, etc. I have heard from contract RNs that they have seen this functionality elsewhere.

Will you please reply if you do this and include what EHR you are using and share any additional information you think would help with a decision like this?

Many thanks,
Stacie Ethington MSN, RN
Medication Safety Nurse Specialist

Children's Medical Center Dallas is looking to hire a medication safety officer. Our timeline is open and are looking for some experience in pediatrics. MSO RPDs, if any of your current residents are interested, have them email me at jay.ramos@childrens.com

Thank you,

Jay

Dear Collogues,

We just opened a behavioral Health institution and we are in the process of getting it accredited by TJC. Standard MM 01.01.05 requires the institution to have a dedicated policy to to address the following issues.
1. The use of multiple psychotropic agents in the same class
2. The use of high-dose pharmacotherapy
3. The prevention, identification and management of side effects, including tardive dyskinesia.