How does your organization set up the IV pump drug library to support RNs flushing medications through the IV tubing? Some of our RNs inject IV push medications into the IV tubing and then run fluid as a slow rate to flush that medication into the patient. (That is, the medication is never on the pump.) This is more of an issue in peds using our Medfusion 4000 pumps but it happens in other areas using our Alaris LVP. Does anyone know if this is common practice at your institution? If so, how do you have your drug library set up to allow this practice to be given within the DERS?

At our facilities the pharmacists provide discharge counseling and instructions for patients being discharged home on methotrexate.

They have asked if there are any exclusions to education if the patient has had a recent admission and education session on a previous admission (for example, patient was admitted within the last month and received education at that visit).

Are any of you excluding patients from receiving education if they have previously had the education completed within a certain time frame?

I was wondering if anyone has any best practice with regard to NMB storage in Anesthesia Work Stations (AWS)? Within our institution NMBs are located in a locked matrix drawer. We were looking into how to better differentiate these products in a matrix AWS to prevent the possibility for mix-ups. Has any institution looked at NMB storage in AWS and come up with any solution for safe storage beyond the locked drawer?

Hi everyone,

Thank you for your participation in the poll to help us gain a better understanding of how different locations approach their dispensing process for IVIG (vials vs pooling).

Here are the results as of 5/26/23, when I will be closing the poll.

30 Respondents

1. Please select how your institution or health system dispenses IVIG to front line teams for administration when more than 1 vial is required.

70% (#21) - Dispense the vials
17% (#5) - Pool the volume into a single sterile bag
13% (#4) - Other

I am hoping to gather information on which PSOs various sites use and what scale is used to score events.

I would greatly appreciate it if you could fill out this survey (should take <2 minutes).
https://www.surveymonkey.com/r/GSY868Y

If interested in results, please email me at amanda.hurst@sanfordhealth.org.Thank you in advance for completing the survey!

Hello,
We're running into some weird shortages lately. We have not been able to obtain CaCarbonate oral solution. Looks like if we may have to consider using API powder which I'm trying to avoid.

Does anyone have a CaCarbonate recipe they're willing to share. Concerned about the recipes we found not being concentrated enough compared to our current product.

Thanks!

DPatrick PharmD, MS, BS
Children's National Hospital
dpatrick@childrensnationbal.org
(202) 476-4798

Do you never, sometimes, or always so-administer an amnestic agent (i.e., benzodiazepine or barbiturate) when using a neuromuscular blocker in neonates for procedures? Any supporting documentation/literature you care to offer would be appreciated.

Hi,
Someone asked in the chat during the MSOS Member Briefing for more examples of the Tip of the Weeks that we send to all OhioHealth nurses and pharmacy staff each week. Here are three more examples. The sulfa allergy one that I showed in my slides is in the slides on the MSOS web page.
Thank you,
Dan Sheridan

Does anyone have a policy that treats overrides differently in the ED? They often override meds that aren't technically on our list because they just need to get them quickly and are at the machine at the time (like antibiotics for example). I totally understand why they would do that, but at the same time it's not emergent to the patient's care.

I'd love to hear any success stories re: improving Alaris Guardrails compliance in oncology areas. Thanks in advance, and I can be contacted privately.