Does anyone have a list of areas where only preservative-free anesthetics are stocked? Or do you stock both and just make sure to label accurately in your ADC description?

Hi All,

We are looking to clarify our MSO Job description in terms of the qualifications required or preferred for any future candidates. We are a pediatric institution but would like to hear from adult and combination adult/peds institutions as well. 

Currently our MSO JD states PGY1, PGY2, and medication safety experience all are required or PGY2 medication safety residency with pediatric clinical experience required.

Hello,
We are currently standardizing our insulin pump refill dispensing workflow and would like feedback on your approach.

Hello everyone - I have two questions on very different topics:

We are a children's hospital with a lot of kids who are refractory to different neurological treatments for seizures. Many of them are able to use Epidiolex, if prescribed by Neurology or Heme/Onc/Pallative Care, but there still some patients who can only be controlled with non-FDA approved cannabis. Most of them acquire them from a dispensary and are approved by their provider for use in controlling their seizures. It can be problematic when they have to be admitted and Mom and/or provider wants them to continue to use.

My organization recently switched from the "old" version of Cardinal's enteral pump to their newer model. Issues have been reported in our PEDS/PICU related to occlusion alarms. Nurses overall are not happy about alarm volumes in general (too quiet). Are other hospitals having similar experiences? Do you have troubleshooting tips to share?

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

Good afternoon everyone,

Does your health-system have a pharmacy peer review program and how is it implemented within the organization? I would appreciate any responses including materials that you may have and willing to share (e.g., policy, charter, etc.).

Thank you!

There is an initiative in our health system to replace Micromedex/Neofax with Lexicomp/Lexidrug for medication reference links. Our pediatric pharmacists have concerns regarding the gap in information between the two references specifically in the NeoNatal population. Does anyone utilize only Lexicomp for medication reference links? Have you had any negative outcomes not having NeoFax available for more specific Neonatal monitoring? Thanks!

Looking for any best practices surrounding code cart contents.
Does your site stock pediatric and adult concentrations in a standard code cart? Or do you have separate carts for each demographic?

If you utilize a mixed cart, have you incorporated any strategies to decrease the chance of errors?

Good afternoon,

Do you permit the use of the new iLet pumps as patient home med, which autonomously calibrates and adjusts insulin delivery based on glycemic levels?

If yes, I’m interested in learning how other institutions are handling the ordering and documentation of iLet pumps, given that basal rates fluctuate, and carbohydrate counting is replaced by meal announcements. How have you structured your order sets within the EMR?

Thank you in advance,

Helen Lee