Curious if any organization has troubleshooted the process for controlled substance infusion integrity when in MRI?
Our policy is to ensure all CS infusions are maintained inside lock boxes with key access held in our Pyxis/ADC machines. These lock boxes are not MR conditional and have created a barrier/delay when attempting scanning patients with CS infusions.

Do your organizations utilize MR conditional lock boxes or something similar? If yes, would you mind sharing the product?

general curiousity, what has your hospital or health system done to make the facility more baby friendly? (health fairs, educational flyers on med safety for moms and breastfeeding?, etc)

For facilities using Irraflow, can you share your order set or medication EHR builds? Do you require a witness on administration documented on the MAR? Thanks in advance! -Melody Sun, CHOC Children's

Hello everyone. I am interested to know if I am missing a regulation related specifically to multi dose topical containers used on multiple patients. I am very familiar with the regulations/CDC guidance on multi dose vials, but I am struggling to find anything concrete regarding creams, ointments, etc. The specific scenario I am dealing with is Biofreeze in Physical Therapy (both inpatient and outpatient). I am confident that best practice is to keep the container in a central location, and squeeze some into a small container (labeled of course) for administration to the patient.

Good morning MSOS Team,

1) We have CareFusion pump.
2) We do not have pump integration into the EMR, nor do we have asset tracking.

My question is "what is the most common way that we can identify patients in their pumps?" Please advise.

Thank You,

Maggie Ton, Pharm.D, SIDP, CMSO, APh.

Hello, reaching out to ask about scan on dispense functions for Cerner. I cover a health system with both Epic and Cerner sites - the Epic sites have the 'dispense prep' and 'dispense check' functions that require scanning during technician prep and pharmacist check. The Cerner sites however have a completely manual process, no scanning required. Are there any Cerner sites that currently have a scanning process in place before meds leave the pharmacy? If so is that through Cerner, or through an external platform such as PharmacyKeeper? Thanks - Erin Cagadas

Hi Everyone
We finally have removed promethazine injectable from our formulary and are now in the process of updating any order sets that have promethazine. Our OR/PACU antiemetic ordersets currently have options for 1st, 2nd and 3rd line nausea medications. Our anesthesiologists are requesting fosaprepitant to replace promethazine, which is very expensive, and would likely blow our budget.

Do any institutional outpatient pharmacies using Willow Ambulatory have a process that incorporates therapeutic equivalency ratings into workflow when selecting an NDC? We are exploring the best way to incorporate annual Orange book updates using the excel data files, but then need to routinely monitor and update with the monthly additions/deletions orange book puts out.

Hello!

We had recently started oncology services in our hospital. I wanted to ask experiences with competency assessments in your facility. Whether standardised or in house assessment carried out? If standardised, can you provide some examples with costs incurred. If in house, how did you go about implementing it?

Thanks
Shamsiya

Are there early words of wisdom on this 7/8 BD Alaris device letter (first attachment) concerning the pump module and potential over and under infusion / inaccuracies versus manual standards on rates < 1 mL/hr and volume < 1 mL. We are currently pulling data on medications and profiles connecting to these rates/volumes (second attachment).

There is connectivity to both peds and adult practice with these rates, so we are starting a workgroup next week to discussion. Seeking early discoveries and potential next step ideas.