Droperidol IM use has re-emerged at my current site. Due to the heightened acuity during most if not all of the cases where droperidol IM administration is indicated, questions have been asked related to whether co-administered IM medications can be put into the same syringe as that of droperidol IM's.

Any data/literature/experience from you all would be greatly appreciated on trying to answer:

"Is droperidol IM injection syringe compatible with diphenhydramine hydrochloride IM injection?

And even more comprehensively:

Hello MSOS,

I am curious if any inpatient facilities have a pharmacy technician and/or pharmacist involved in the process to program an IV pump prior to the RN initiating administration of the medication.

How do you utilize the data collected in your overrides and/or inventory function dashboards? Does a particular individual/committee review the data at a specific cadence? Do the findings get presented to any committees or leadership? Curious as to how other institutions might be leveraging this information.

Hello colleagues,

My system is discussing implementing continuous glucose monitoring to reduce hypoglycemic events among high risk patients. Would anyone be willing to 1) share their experiences/learnings or 2) be a point of contact for queries (i.e. Epic integration possible?)

With gratitude,
Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health
Mt Vernon, WA

What units do you use for midazolam for status epilepticus in your EMR and infusion pumps

Currently, ASHP standardize for safety recommendations for midazolam dosing units is MG/HR

But dosing recommendations for midazolam for status epilepticus for continuous infusion are mg/kg/hr in guidelines and references

Thanks

With the recent addition of med reconciliation in the ISMP targeted best practices for hospitals specifically the recommendation of "Obtain most accurate medication list possible upon admission to organization before first dose of medication is administered"...

We have been converting to outsourced controlled substance products (ie, morphine 30mg/30mL), but we are concerned about the risk for diversion when the syringes are actually 32mL or 33mL because the outsourcing pharmacy includes about 10% overfill in some lots. We store these syringes in Pyxis so the nurses can remove them easily. How does your site handle this? Do you have a process to track these overfill volumes? Thanks in advance! -Melody Sun, CHOC Children's

Hello MSOS community.

PROBLEM:
- We are challenged with our outpatient pharmacy system which can not print reduced size symbols for half like 1/2.
- We do not use 1/2 as that could be mis-read as "one or two"
- We have seen a risk with members mis-interpreting "Take one-half tablet...." as 1.5.
- We have reached out to vendors (First Data Bank's Meducation, and ISMP) as well to see what can be done in our system.

Hi there - we recently had a patient with history of HIT who had a procedure that essentially required heparin, and our hematology team was not consulted in a reasonable time.

Does anyone have a process to encourage surgeons to proactively consult hematology in situations like this? We are an Epic institution.

Greetings!
We would like to transition to majority nebulizers (duoneb, albuterol, atrovent) instead of combivent/ atrovent/ albuterol inhalers but for the ventilated patients we have issues with the expiratory flow sensor and expiratory filter becoming clogged and the filter has to be changed while still in use. We use the GE Carescape with a valve ventilator exhalation flow transducer for the exhalation filter.
Do other facilities use nebulizers on vent patients and have you had issues with clogging? Thank you!