We have physicians that are requesting the use of phenol for neurolysis, and I was curious if anyone has any experience with this.
1. Experience with efficacy?
2. Are you sterile compounding as a category 3?
3. Outsourcing from a 503b?

Thank you!

Hello All,

We noticed that some controlled substances do not have sufficient overfill to prime the SQ port therefore prompting the providers to order extra dose that led to additional waste, or the nurses to override an extra dose on the pyxis resulting in narcotic discrepancy.

I wonder if anyone can share your practice on handling SQ port priming.

Thank you,

Hi All,

I have questions for organizations that implemented infusion pump interoperability with electronic medical records in OR (auto-programming and auto-documentation).

1. What EMR (e.g., Epic) do you use?

2. Do you use Anesthesia Epic Module or something else for interoperability in OR?

3. Did you have medication scanning in OR prior to the implementation of interoperability?

We're working on re-establishing our formulary for long-acting-injectable antipsychotics and currently developing a class review. In order to cover the most amount of patients while taking into account cost (we have 340b pricing) we're thinking of choosing Fluphenazine, Abilify maintena, and Risperdal consta. After speaking with our medical pysch team, we are also thinking of considering Invega Sustenna, Uzedy, and potentially Rexulti.

Just wanted to hear the thoughts everyone else had on their class review for choosing formularies.

t Children's National we are evaluating our outpatient prescribing standards and seeking best practices and mitigation strategies.
We're pediatric hospital who uses Cerner.

Hi, would anyone be able and willing to kindly share the PACU pain order set utilized at your institution? We are in the process of re-doing ours and I would appreciate any input that the group shares!

Thank you.

Good Afternoon Members:

We are currently have a plan to implement a hard stop in our EMR that would require a POC fingerstick blood glucose result within 60 minutes prior to insulin administration. This hard stop would create the need for an extra POC FS between 9 and 10 AM before morning glargine administration.

We are considerinig changing standard time for "daily" insulin glargine (basal) from 10 AM to 12 PM. This avoids an additional POC fingerstick for patients and staff.

Hello MSOS,

Question for you all. How does your organization navigate the different doses and concentrations for the different vasopressin indications?

Do you have separate orderable options that clearly state one is for shock and one is for Diabetes insipidus and one for GI bleed?
Have you had errors with providers ordering the incorrect one?

Do your orders default to the different dosing units? ie munits/kg/hr for DI and munits/kg/min for GI bleed and shock?

Thank you!

Two questions for group:
1. Do you require Protect From Light bag over epinephrine continuous infusions? (See recent ISMP Medication Safety Alert Feb 2024 Issue 3 and linked Hospital Pharmacy
2023, Vol. 58(5) 448–475 for discussion about addressing PFL during the different stages of medication processes.)

2. If you utilize PFL bags, has anyone found availability of ones that offer enough visibility to be able to read easily and see fluid volumes?