Good afternoon,

With meperidine shortage, what medication(s) are you using to treat shivers/rigors post op/ATG/amphotericin in pediatric patients? Please share dosing if available.

Thank you,

Helen Lee, PharmD, BCPS, BCPPS

Medication Safety Officer

Pharmacy Residency Program Director

T   786.624.2430

E   Helen.Lee@Nicklaushealth.org

W  www.NicklausHealth.org
 

Hi everyone,

I’m reaching out to gather some insight on how your institutions manage heparin protocols. Specifically, I’m curious to know:

Does your facility have a nursing-only heparin protocol, or is pharmacy involved in the process?

If it is managed solely by nursing, does pharmacy verify all rate changes, or is that left entirely to nursing?

We’re currently reviewing our own practices, and I’d really appreciate hearing how your teams approach this—especially regarding workflow, safety checks, and any challenges you’ve encountered.

Thank you!

Has anyone come across issues with IV infusions still running on patients after a discontinue order has been placed? If so, what have you done to address it? I'm just starting to look into the workflow, but it sounds like it's mostly manual process without any alarms, alerts, etc., despite Epic/Alaris interoperability being in place.

Thanks!

Hello! Does anyone allow the use of buffered lidocaine, j-tips, urojet, or other topical local anesthetics within 96 hours of Exparel administration?

Thanks!

Hello everyone,

I am reaching out to learn how other institutions approach insulin safety. Specifically,
1. Do you have a dedicated insulin safety committee or working group?

2. If so, what disciplines are represented?

3. How often does the group meet and what are its main areas of focus?

4. Does the group report up to a broader safety or medication management committee, or does it function independently?

5. What have been the most impactful initiatives or interventions to improve insulin safety at your institution?

How is everyone handling medications that come from procedure trays/kits (e.g. epidural, central line, spinal, etc.) These typically contain lidocaine, or other anesthetic drug. These kits are provided by 3rd party vendors and bypass pharmacy oversight. How is frontline staff directed on what to do with the unused medications? For pharmacies that collect them, do you recirculate/redispense the medications?

For ambulatory MSO's, in Ohio, the Board of Pharmacy treats medical oxygen as a dangerous drug. Have you seen any offices that are compliant (particularly with storage and inventory management of medical oxygen) that you might be able to share their good practices?

Hi Everyone
We currently use endotool software to manage our patients requiring insulin infusions. We would like to change to use the insulin infusion calculator in epic for several reasons - cost of the software, transparency in dosing, only having to use 1 platform for medication management. Has anyone successfully transitioned from endotool to the calculator in epic? If so, would you be willing to share your strategies? I would also be interested in how others have built/used the epic insulin calculator and any words of wisdom.

Thanks, have a great weekend!

Hello -
Are others still seeing rare but serious adverse events / cardiac arrest report associated with ceftriaxone administration...?
Thanks,
Emily

our system has had errors with dosing and wrong route.
We have tried separate and combination (peds and adult) kits
We have tried in code carts, not in code carts
We have tried ampules and not ampules

Please message me if you have any special magic answer to these problems and
FILL THIS survey out- 2 minutes, and I will share results.