Due to some recent events, we are re-evaluating the procedure for hospital-to-hospital transfers.

Currently, the procedure is to discharge/readmit the patient to the new facility (rather than "transfer"). This comes with 2 main issues that we have identified:

1. Although orders may be re-ordered from the previous discharge facility, they only include medications and potentially an incomplete list of orders. Safety banners and nursing orders that are tied to diagnoses or previous drugs administered (e.g., systemic thrombolytics) do not follow the patient.

Would anyone be willing to share your process for concentrated potassium for the operating room? We utilize this product during CT surgery cases with perfusion and OB termination cases. Do you allow storage outside of the pharmacy? Do you reconcile the usage and waste?

Hi Everyone. Can anyone share their process for patients with name alerts? Do you only place an alert in EMR/Omnicell if same last name, or fist name or only if in the same POD? wondering if anyone has a policy they can share.

Good afternoon MSO friends,

I am looking into conducting a gap assessment for our USP797 and 800 practices before next month enforcement date. Does anyone have a gap assessment they can share for USP 797/800.

Any insight is greatly appreciated.

Sincerely,
Mohamed

Good afternoon MSO friends,

I am looking into conducting a gap assessment for our USP797 and 800 practices before next month enforcement date. Does anyone have a gap assessment they can share for USP 797/800.

Any insight is greatly appreciated.

Sincerely,
Mohamed

Our current process for Doe patients is to have the default age of 1/1/1900. Interested to hear if any pediatric institutions have a process to ensure neonatal/pediatric context applies to their patients. We recently had a NICU patient with an age of 123 years old, and it caused a lot of confusion/problems with entering orders correctly.

The most recent ISMP Acute Care newsletter recommended having an escalation process for when a medication barcode will not scan. After surveying some of our pharmacists and nurses it seems that this is a gap our health system has. Do other places already have something like this in place and could share the steps and if it has been successful and utilized? Thanks!

Has anyone implemented Datix RL6 event reporting system? If so, did you make modifications to any of the medication/fluid event section or the supported medication list? Did you use your formulary as the CSV file for medications? I have been asked to review these sections and honestly have no clue how to go make recommendations. Hoping someone has been through this and can help! Thank you.

Carol

Good morning,
Does anyone have a protocol for these indications? This is being done in our health centre (IWK Health, Halifax Nova Scotia). We are a centre which serves pediatric and Women's health population.
In this case it appears that our pediatric ORs and Emergency departments are using.
Any input would be much appreciated.
Best Regards,
Carol

Colleagues responsible for USP Implementation,

My board of pharmacy is not weighing in on the interpretation of sterile compounding direct oversight versus in process and final checks. With the training requirements differing for compounders, those who provide direct oversight, and those who provide in process checks, I am seeking opinions on specifically the distinction between direct oversight and in-process/final checks.