We are working on simplifying are medication event reporting process and are looking at the different subcategories we have for medication events. In current state a reporter would choose "Medication/IV" to report a medication event and then there is a list of 18 different subcategories, one which is called "Other Medication Event" and gets used the most so the subcategories are not helpful for pulling data and trending.

Hello. I was wondering how other institutions dispensed Bicillin L-A when the 50,000 units/kg dose is being used. Do you dispense the whole syringe and have the nurse prepare the dose or do you prepare the dose in pharmacy? If it's prepared in pharmacy, any special precautions taken to avoid IV administration?

Dear MSOS Members,

My name is Eman Yonis and I am completing a medication safety rotation with Dr. Michael Dejos, the System Medication Safety Officer of Methodist Le Bonheur Healthcare. We are conducting a brief survey to gather pharmacists' perspectives and experiences regarding the Clozapine REMS program. Your participation will help us better understand current practices and guide future improvements to ensure safe and effective clozapine use for various settings. The survey should take only a few minutes to complete.

Hi,

How do you currently manage the storage of patients' discharge medications that require refrigeration while awaiting discharge? We’ve had instances where parents pick up their child’s refrigerated medications, only to find that the discharge has been delayed. I’m curious if anyone has developed a solution for this situation.

Thank you,

Helen Lee

Our organization has been using sub-anesthetic ketamine at all levels of care for many years. We currently restrict to ordering provider from Anesthesia, Pain Providers, and Pediatric Critical Care Medicine. Recently we had a request to expand our current restriction to allow our Trauma Surgery providers to order subanesthetic ketamine without an anesthesiologist or pain medicine provider on board.

How do your organizations manage sub-anesthetic ketamine?

Thanks,
Sloane
Nebraska Medicine

Hello!

Anyone else hearing / receiving reports of patients having seizures with administration of ertapenem...?

Our organization has heard of four patients experiencing seizures in the last week or so.

Oddly, involving two different manufacturers and varying lot numbers...

NDC Code(s): 55150-282-20
Packager: Eugia US LLC
Lot 2E124020A
Expiration 12/31/2025
Lot 2EI24089A
Expiration: 4/30/2025

NDC Code: 60505-6196-0
Packager: Apotex Corp

Thanks in advance for any responses!
Emily

I'd be interested if anyone would be willing to share any information regarding policy or practices surrounding medication infusion management during MRI or other intrahospital transport for NON-CRITICAL CARE patients. Of particular interest is management of patients on heparin drips while in MRI. Other medication infusions (vasoactive drips such as diltiazem) more clearly require an RN present for patient monitoring of vital signs, etc.

Thank you!

Hello everyone,

I wanted to take one more shot at the following question. Does anyone's institutions provide a guideline or algorithm for redosing medications after a patient vomits? And if so... do you mind sharing?

Thanks!
Mel

Children's Health, Dallas

How does your organization track ADE events? Do you enter ALL ADE events into your organization's voluntary/staff reporting system?

Hi,

Have any of you been experiencing any product issues/complaints with Sagent manufacturer propofol 20ml vials? We have had multiple reports of unprovoked coring at our facility.

Reported lots:
Lot # 24D012 Exp. 2.26
Lot # 24D017 Exp. 2.26