Hi,
Do any of your sites allow peripheral administration of 3% Saline? If allowed, what parameters do you have in place and is it only allowed in certain locations?

Thank you in advance for any information provided.
Pratixa Patel

Hello all,
We are reviewing a request to add Exparel to formulary at our pediatric hospital. There are 2 main concerns we have with this medication: 1. Cannot administer a local anesthetic for 96 hrs after Exparel administration due to toxicity, 2. Looks like propofol but cannot be given IV so concern for wrong route error and harm.

If your institution has Exparel on formulary, what mitigations do you have in place to prevent these errors from reaching the patient?

Thank you in advance!

I'm wondering if any jurisdictions have defined, and wouldn't mind sharing, which surgical procedures require the completion of transfer medication reconciliation (or which ones don't require it, e.g. endoscopy, pacemaker or CVAD insertion, etc).

Thanks in advance!
Rebecca Ellis
Health PEI (Canada)

While we do our best, for all clinicians involved, to limit chemotherapy preparation and administration to day & evening hours, occasionally a patient is admitted with an acute need that requires overnight pharmacy staff to prepare chemotherapy. While all of our staff complete the periodic didactic content for hazardous compounding, we do not currently have guidance on the periodic practical competency demonstration. Interested in hearing from other institutions
Do you have a hard stop for off-hours/overnight chemo preparation?

If you are currently using droperidol in your facility, what, if any, restrictions do you have in place?

Hi All
Looking for some guidance on how to handle electrolytes and high alert policies. Currently IV electrolytes are considered high alert for our pediatric patients, however we are trying to figure out how to best handle other situations that may be considered high alert, in particular concentrated electrolytes.

I was wondering if any one can share specific order sets they have developed for On-Q pumps?

On behalf of the inpatient pharmacy department at Hershey Medical Center, I am reaching out about guidelines institutions may have in place for pediatric dosing. Specifically, I would like to know if you have weight and/or age cutoffs for sterile IV preparations for pediatric doses.

Hi,
Does your institution require a chemo certified nurse to administer ganciclovir IV? Thanks.

-Dominic

Hi all,

I am currently piloting safety walk rounds at my institution. In current state, the Patient Safety Officer and I will go to random floors monthly and speak with front line staff to see how things are going and if there are any opportunities. It has been successful so far but there is a gap in structure (i.e. we like to include nursing managers and sometimes they are unavailable), documentation, follow up, and report outs from the walk rounds.