Our organization is working to establish an interdisciplinary EHR Alert committee, and looking to learn from others regarding what has worked. Please take a minute to answer this short survey. Results will be shared.

https://forms.gle/ZQcmBsdVzaxgjAZg9

Thank you.

Seeking to learn how other organizations with Cerner EHR have designed EHR alert settings for "therapeutic duplication" for various user roles. Could you describe your strategy for optimizing these alerts to trigger for clinically inappropriate duplications? Do the settings differ for medical staff vs. pharmacists?

For organizations that still use chloral hydrate for pediatric procedural sedation, what procedures/policies/workflow (if any) do you have regarding appropriate storage and handling? It's not on the NIOSH list given it's unique regulatory status, but IARC classifies it as a potential human carcinogen. Did you perform an assessment of risk?

Hello,

Curious if any organizations have experience with removing meperidine from formulary entirely or do most still keep for restricted indications (for example: post-anesthesia shivering)?

Thanks so much for any feedback you'd be willing to share!

Does ISMP/FDA guidance to avoid use of the "TPA" abbreviation apply to order synonyms in your organization? Does anyone allow use of the synonym "TPA" to direct to alteplase orders within their hospital information system?

Thank you!

Wyndie Tse
City of Hope

Hello members - Wondering how many of you/your site have NEONATE specific crash cart (separate from PEDS). Our hospital admin is under an assumption that it is a standard to have but I have never seen one.

Hello members - Wondering how many of you/your site have NEONATE specific crash cart (separate from PEDS). Our hospital admin is under an assumption that it is a standard to have but I have never seen one.

Hello,

If your site has implemented IV workflow system with barcoding and gravimetrics for chemotherapy, how many pharmacists do the final product check involving physical handling of the product?

Hi all,

We currently have an Adult DKA and HSS protocol, IV insulin algorithm, and OB IV insulin algorithm. We have been seeing an uptick of euglycemic DKA within our institution primarily due to the increased use of SGLT2i and in our OB/LDR population. It is causing confusion amongst our provider and nursing staff as our current guidance does not appropriately address euglycemic DKA. This has ultimately led to errors which we are wanting to prevent in the future with appropriate guidance.

1. Do you have an euglycemic DKA protocol/guideline that you are willing to share?

Hello,

We are looking to update our process on Methrotrexate administration for ectopic pregnancy. Would anyone be willing to share their practice or policy? Our pharmacy is not a 24 hour pharmacy, which somewhat complicates the process.

Thanks,
Courtney