Good morning MSOS friends, we are an EPIC facility and we use the immunization activity to document administration of vaccines house-wide.

We are trying to enforce barcode medication administration in ambulatory clinics and some of the issue we're facing because vaccine is completed in immunization activity not MAR.
1- Nursing not scanning patients upon administration as system is not asking them to.
2- Nursing take MDV vaccines to scan (polio and flu) to exam rooms as there's no “pend” immunization functionality that exists with EPIC like it does with medications.

Hi everyone, our institution is scheduled to undergo EHR change to Epic end of this year..

I was wondering if your institution has gone through this implementation to Epic,

what is the one functionality that you implemented, that you think made a huge impact on medication safety.. and you highly recommend?

This would be beneficial to learn from as we are in the build process and may have the opportunity to implement. :)

Thank you!

I would like to learn more about the medication safety programs from other health-systems/institutions and would greatly appreciate any insight that you may share. Thank you in advance.

For doses <0.35mL, our nurses are infusing with a flush, which skews our guardrails reporting. Can anyone share their process for this scenario? Thanks in advance!

I am looking to connect with others whose organizations have undergone or are in the process of planning for integration. My organization is pursuing this with Epic/Baxter, but I imagine a potential issue we are discussing is widely applicable.

Hello,

Is it mandatory to capture lot numbers and expiration dates during medication scanning? Industry guidance and the Federal Register suggest that drug manufacturers are not required to include this information in linear barcodes.

Hello,

Does your institution have a good catch program? If so, how are your winners selected? Do you use a random selection generator? Is each nomination evaluated based on defined criteria (ex: potential severity, etc.) with the "best" good catch selected for the award?

Thank you!

Hello group,
I am revisiting phenobarbital prep and administration for neonates and looking for safest practices. I'm mostly focused on loading doses and undiluted drug but open to more general info (65mg/mL and 10mg/mL are both on the ISMP/VON list, with the comment that maintenance doses might be unmeasurable without dilution).

We are a metropolatin Level 1 trauma center who is expanding our Emergency Department. Currently, we have Omnicells in the "open" area around the nursing stations/computers. The ED staff prefers this; the leadership team is considering closed medication rooms with badge access. For Level 1 TC and busy EDs: do you function with medication rooms or ADCs in an open area?
Thanks ahead of time.
Mary

Hello - We are currently evaluating the possibility of adding additional anticoagulation pharmacist support at our institution. We are not able to wait for RxOps data, so answering the following questions would be very helpful. Thanks!

1. Do your hospitals or clinics have an anticoagulation pharmacist? If so, how many?
2. Are they providing inpatient or outpatient anticoagulation support?
3. How many patients on average does each pharmacist manage (inpatient/outpatient)?
4. Do the pharmacists bill for their services?

Thank you!