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? If you don't allow this practice, is there a rationale used to justify this stance this with nurses?