We are having difficulty obtaining single use Lugol's for use in gynecology clinic. Do you use the larger bottles in ambulatory locations for multiple patients? If so, how do you ensure sterility and expiration dating?

Thanks!

Hello Members,

We are adding Bumetanide drip to our NICU pump library and would like to ask for your help. Would you mind sharing the standard concentration and min/max settings used at your site? Thank you.

Manisa

Good afternoon,

We are a pediatric institution seeking to optimize our current process for flushing intermittent medications when primary IV fluids are not ordered for the patient. We need guidance with the following:

- What is your institution’s current workflow for these situations?
- Does your institution require a specific order in the EMR for flushing?
- If so, would you be willing to share the order sentence build? Dose volume/Intermittent PRN/continuous infusion/order comments?
- What size bag of IV fluids is used?

Hello colleagues,

Looking for idea on how you stock and order Nithiodote in the EMR to allow for BCMA?

We currently stock Nithiodote in Pyxis (two vials in one box). The Epic orderable for the kit components is built as a "followed by" panel, but the vials do not scan for BCMA (only the box).

My leadership team is not fond of splitting the kit, so I am looking for ideas that would allow for BCMA.

Thank you kindly,

Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health

Hello,

For the sites that have an active residency program and residents. Can you please tell me if you mandate ACLS/BLS/PALS to your preceptors?

Thank you,

We have had some great catches where low dose anti-biotics are ordered for pediatric patients (i.e. 150 mg vs. 150 mg/kg). What Epic solutions have you utilized to monitor this? Hesitant to turn on all low dose warnings across the system due to the potential for alert fatigue.

If you have a tech-check-tech program, What quality metrics are you tracking?

Hi,
Would love to hear if anyone has a requirement for a naloxone PRN order for specific patient populations or when specific medications are ordered. For example, when insulin is ordered we have a few hypoglycemia orders that must be added to the patient's MAR as PRN. So the question arose, should we do this with opioids & naloxone.

Thank you!

Hi
We are in desperate need of a comprehensive insulin policy. Does anyone have a general insulin policy they'd be willing to share? I would love to see what others have so we can get a jumping off point.

Thanks

Lindsey Eick, PharmD, BCPS
Medication Safety Supervisor
OHSU

For chemotherapy agents that vaporize (e.g., Carmustine, Cyclophosphamide, Doxorubicin, Fluorouracil), has anyone completed a hazard/risk assessment of exposure once they have been further diluted for administration? Specifically, do you handle a spill of a diluted preparation the same as you would (e.g, require PAPR), if undiluted liquid was spilled?

Kind regards,
Ronda Whipple PharmD