Hi all,
We recently went live with Epic for our health system and are looking to see if other institutions are utilizing First Databank Alert Space to manage/optimize the alerts in Epic.
1. Do you utilize FDB Alert Space?
2. Do you find the service to be valuable?
3. Can we reach out to discuss further?

Thanks!

Lara Ellinger, PharmD, BCPS
Medication Safety and Drug Information Pharmacist
Northwestern Memorial Hospital
(312) 926-3571

If a controlled substance is still in the sealed, intact package and can be returned to the ADC, does your institution require that a second licensed staff member witness the return?

Good morning! There are numerous organizations that recommend assessing a patient's status as opioid naïve or tolerant prior to opioid administration. (ex: WAKE UP Campaign, HRET ADE Prevention Change Package, ISMP TMSBP 12, TJC SEA 49, Opioid ADE Prevention Gap Analysis Minnesota Hospital Association.) We also know that performing an assessment of opioid naïve or tolerant status is complex and prone to knowledge based error by multiple disciplines.

What does your site do when a patient needs to be transported to another hospital by EMS and is on a controlled substance infusion or PCA?

If you continue the infusion, what paperwork do you use to document the transfer of the meds?

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

How does your institution handle the storage of crash cart locks? Are the locks secured in the Automated Dispensing Cabinets or med rooms, maintained by pharmacy, etc.?

Thank you!
Ashley

Wondering how other facilities are handling Codeine and Tramadol prescribing in patients less than 12 years old? Right now we are working with a Best Practice Alert (BPA)I EPIC that fires when providers order these agents in patients under 12 years old - stating it is contraindicated - but they can still order it.
What are other hospitals doing to prevent these agents being used in this contraindicated population? Removing from formulary for patients under 12 years old??

We have made several steps in removing injectable promethazine from formulary. Our first step (years ago) was to limit administration to IM or IVPB. Currently, we have removed this product from all Epic order sets and ADM – except for those related to post-op. Can anyone comment on how they dealt with anesthesia’s resistance to formulary removal? The group feels like they cannot afford to lose this agent since we can’t procure droperidol and their options are too limited for PONV. I would love to hear some success stories to provide to this group.
Thanks-

Hi -

We are trying to refine our process for ordering and dispensing RhIg products (RhoGam or HyperRho) for postpartum prophylaxis in the setting of fetomaternal hemorrhage.

1) Who is responsible for calculating the dose of RhIg product? OB physician, blood bank, pathology, other?