I work for an organization that has merged in recent years and we have a difference in process between sites in how OB mag boluses are delivered. Half of the sites have always bolused from the continuous infusion bag using the bolus feature on our infusion pumps. The other sites have used 4g/2g mag bags to give the bolus dose and do not allow bolus from bag. I'm curious which method other organizations are currently using and if you are aware of any limitations or events with your current method. For context we are an Epic organization using Alaris pumps.

Our BCMA compliance data revealed that we do not regularly scan the "Bolus from Bag" orders prior to administration (the order prompts the RN to scan the continuous infusion bag when attempting to document a given dose). Discussions with nursing have revealed that it is not always feasible to scan the bolus from bag prior to giving the dose (bolused through the smart pump as bolus from bag) due to the emergent needs of the patient.