Does anyone have specific guidance related to administration of IV Medications in the ambulatory setting? I have sent the ISMP Gap Analysis Tool for Safe IV Push Medication Practices to the Nursing Leader who requested this guidance. I believe this largely comes down to monitoring requirements- which we have for inpatient administration. The actual process for medication injection should not differ. I did tell them I would check to see if others had specific information about this subject. Thanks very much!

As we move closer to hurricane season, and issues with really bad storms, does anyone have a written SOP and/or Policy on Pharmacy's role in emergency evacuation for the hospital?
We've had a few close calls over the last few years with storms that turned at the last minute and went elsewhere, but now we're getting serious about how Pharmacy will help the organization, and what it's role will be in medication management if the hospital had to be evacuated.

Thanks.

Feel free to email me directly if that's better for you.

In addition to the ISMP recommendations to consistently utilize metric system for all scales and weight recordings in the EHR, does your facility have additional approaches to validate accurate weights prior to administration of medications in the pediatric population (emergency department care)? Do you have different approaches for high risk medications?

Hello MSOS. I'm Allison, one of the international fellows with the Institute for Safe Medication Practices (ISMP). I am interested in hearing from pharmacists in hospitals regarding the handling of the Diastat AcuDial rectal diazepam system. When dispensing the AcuDial syringe from pharmacy, when are your pharmacists dialing and locking the dose? Are the pharmacists dialing and locking the dose prior to delivery to an automated dispensing cabinet? Or are the pharmacists dialing and locking the dose prior to hand delivery to the nurse?

Good morning - We are trying to find way to provide information on the MME based dosing conversions to fentanyl patches at the time of ordering. We are an Epic institution, appreciate if anyone is able to offer creative ways to display this information.

Greetings-
Our organization has recently partnered with several new outpatient oncology infusion centers, and our team is starting to evaluate their medication use processes.

We have reviewed the ISMP Self-Assessment tools, but wanted to know what other organizations have used as an assessment tool when evaluating their outpatient oncology infusion centers and care areas.

Thank You!

Trey Jenkins PharmD., BCPS
Medication Safety Officer
WellStar Health System

Does anyone have neonatologists that order 0.2% Sodium Chloride? If so, do you recommend alternate therapy (i.e. D5/0.2NaCl) or what is your process to safely prepare in the pharmacy?

Thanks,

Jeffrey Thomas, BS, PharmD
Area Medication Safety Manager - Michigan Market
Pharmacy
Ascension

Hello Everyone,

I am looking for any recent errors related to promethazine administration. Please share if you have any error reports or near-misses related to this topic. Thank you for all you do.

Best Regards,

Nistha Shah, PharmD
ISMP International Medication Safety Management Fellow

Nitroglycerin boluses requested for Cathlab have been drawn up in plastic syringes with 24 hr expiration and placed in amber bag upon delivery. Is anyone else familiar with this practice? typically boluses are drawn straight from untampered original bottle. Thanks for any insights

Does your order entry system automatically calculate IBW for patients who are under 5 ft tall?
If so, what formula does your system use?
Do you have one formula for patients 5ft tall or greater and a different one for patients less than 5 ft tall?
Do any of you use the CDC Growth charts to calculate IBW?

Trecia