I am wondering if anyone has built safeguards in place to alert a prescriber or pharmacist that the amount of fluid being ordered is likely inappropriate for the size of the child.

So for example, something that alerts the prescriber or pharmacist that 1000 mL of fluid is not appropriate for a 9kg patient.

Safeguards could involve custom FDB rules, custom EMR build, tools to support appropriate ordering, etc. Thanks for sharing any work you have done in this arena!

Historically we have been compounding an irrigation containing antibiotics and povidone-iodine solution for breast pocket irrigation during surgery. We are stopping this practice due to the povidone-iodine not being a sterile product. We are receiving significant push back from some surgeons. Curious about what others are doing if surgeons are still requesting this type of product? Thanks.

Historically we have been compounding an irrigation containing antibiotics and povidone-iodine solution for breast pocket irrigation during surgery. We are stopping this practice due to the povidone-iodine not being a sterile product. We are receiving significant push back from some surgeons. Curious about what others are doing if surgeons are still requesting this type of product? Thanks.

Dear colleagues.

I am looking into the issue of misaligned lines and there isn't a lot of information out there save for the ontario lab study and PA article from approx 10 years ago. I am hoping you can help me get some more recent data as relates to this issue.

I realize your time is valuable but if possible, please see attached short survey (only 6 questions). The survey won't collect names or emails but if you'd like to share more info or insights, please feel free to message me.

Thank you and I highly appreciate your responses!!

Hello,
We are looking for a premix peripheral parenteral nutrition option we can add to our formulary and wondering what everyone is using.
Thank you.

Interested in if other health systems are considering or have implemented a recommendation to hold GLP-1 agonists day before or 1 week before (depending on which product patient is using) procedures that utilize anesthesia services. Link provided for more information on this topic. Appreciate any insight! Thanks!

https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-...

Some influenza vaccines may contain residual amounts of steroid (e.g., less than 0.0015 mcg hydrocortisone per dose in Fluarix). Our EHR vendor-supplied CDSS data currently flags a drug-allergy interaction for every flu vaccine (even those without listed residual steroid) in patients with a steroid allergy.

From initial research, it doesn't appear that reactivity is known/clear. You could imagine the amount of alert fatigue during the flu season especially.

Wondering if others have had this alert and assessed pros/cons of possible suppression?

Thank you,
Zach

One of our facilities is developing a hyperbaric chamber service. Pharmacy was not initially consulted on this and we recently found out they have bought IV pumps for use in the hyperbaric chambers. Since they are monoplace chambers the pumps have to be able to generate 30 psi or more without alarming. Something most cannot do. The pumps they purchased are Zyno Medical Z-800F pumps. From a DERS standpoint the Zyno pump does not appear to have that capability, which is against our policy.

Hello!

We are an Epic hospital and currently require CRRT dialysate/replacement fluids to be ordered every 24 hours per institutional high alert policy. We have been running into problems getting orders placed incorrectly or orders expiring before providers have a chance to order or order for the flow/removal rates not matching with the orders for the actual dialysate and replacement fluid. I wanted to get some general sense of what other institutions are doing:

We have been using these Norepinephrine bags 8 mg/250 mL from WG Critical Care and the spikes have been coming loose and falling out of the bags. Has anyone using this product experienced this and what was your resolution?