Hi all-

Does anyone have a pharmacy peer review process in their organization, and would be willing to share policies, process, etc? Thank you in advance!

Best,
Liz

Greetings to all,

I want to inquire about dashboard utilization. I have a few questions for colleagues who are currently utilizing the dashboard in their current role as medication safety RPh or as an Officer.

- What are the pros/cons of having a dashboard?
- Do you have any recommendations as to What dashboard software is better in your
opinion if any?
- What is the dashboard content like? e.g., reports, stats, etc...
- For those with the Epic EHR system, how is your dashboard integrated with Epic?

Thank you, ladies and gentlemen.

Our institution is in the process of revamping our alcohol withdrawal order set to allow more liberal use of phenobarbital. With the change patients may receive a single loading dose of up to 15 mg/kg. We have received a question of whether patients receiving these higher doses need to be monitored on telemetry (due to bradycardia risk), but we have not historically required such monitoring for phenobarbital.

Do any institutions require telemetry monitoring during loading doses of IV phenobarbital? If so, how long does this monitoring occur?

Hi all,

I am certain most of us have an independent double check policy for administration, but curious if you specifically spell out anything related to nurse prepared compounding?

We try to provide medication drips pharmacy prepared but some drips may be prepared at bedisde.

Is it included in your double check admin document?
If you require a double check on nurse preparation, do you just require that for all of your high alert meds or does it extend to any compounding (including attaching vial and bag with adapter,ADD Vantage, etc).

Hello,
My organization is evaluating EHR vendors: Meditech Expanse, Cerner, and Epic Community Connect. Happy to hear about your experiences with any of those.

Especially interested if anyone utilize or has experience with Epic Community Connect. How does your partnership work? Are you on the same GPO group? How much flexibility does your site have? Any other pros/cons/things worth knowing?

Thank you,
Renu Bajwa, Pharm.D.
Community Memorial Health System

Hello everyone ,

is there any medications can be self administered ?/ at bedside ? , if its instructed by healthcare provider ?

I am wondering if other hospitals allow self administration of medication by patients .

can you share with me any policy or procedure for this matter

thanks in advance .

When we have questions or suggestions about a drug-drug interaction severity level rating, we share this with First DataBank, the drug information vendor for our homegrown EHR. A pharmacist from FDB typically responds to our emails within 2 weeks. They don't often make a change based on our emails, but they at least acknowledge our concern and explain their rationale.
In contrast, the drug information vendor servicing our pharmacy platform, MediSpan, has not yet responded to the few drug-drug interaction rating queries we've sent.

My student and I are evaluating a case where a patient received an inadvertent bolus of residual high-concentration norepinephrine which was still present in a port access line after an infusion. We occasionally get reports of similar events happening with propofol for patients coming out of the OR. And I recall that there was at least one published case many years ago involving a neuromuscular blocker. I'm wondering if anyone has had similar events at your hospital, and if you have any ideas how to "hard wire" preventing this type of event?

Hi MSOS Members,

We had a patient case when apixaban for VTE treatment was started too soon (12 hours after am dose Lovenox). The patient was on Lovenox treatment once a day dosing regimen before transitioning to apixaban. Alert was not fired since Lovenox order was no longer active at the time apixaban order was placed. Our EHR does not have a look back option turn on. I would like to see what your sites put in place to prevent such an error.

Thank you,

Manisa

Hi All, I would like to poll your Ophthalmology inpatient practices

1. Who administers eye drops for consult patients? (e.g. dilation, etc)
A. Nurse
B. Ophthy
C. Both/other (please specify)

2. Where is the eye drop administration documented?
A. MAR
B. Note
C. Other (please specify)

3. How are drops dispensed?
A. Subsequent to patient-specific order (e.g. standard process for IPD meds)
B. Carried by ophthalmology (similar to clinic practice)
C. Other (please specify)