Hi, what kind of policies and procedures does your institution have for medication orders for patients who are still housed in the ED but awaiting transfer with the disposition orders already in? Who is responsible for assuming care of the patient for medication orders/labs, etc if there is a delay in transfer? This could be situations where there is a transport delay to an outpatient facility. Or the more pressing issue is if there is a freestanding ER and transfer is pending to the main ED but there is delay in the transport or bed availability but disposition orders are already in.

Could you please share your practice for medication order verification in the general ED? Specifically, do you rely on auto-verification of orders, and is the process different for pediatric patients (i.e. pharmacist review is required for pediatric patients)?

Hello,

Would anybody be interested in sharing policies or procedures around their ED pharmacists' roles and responsibilities as it relates to the medication use process in the Emergency Department?

Interested in information about their roles as it pertains to both trauma and non-trauma situations; preparation of medications with orders and medications removed from ADC on override, as well as the hand-off process when pharmacy obtains med from ADC and/or draws up for administering end user.

Thank you,

Matt

Matthew T Beaulac, PharmD, MS

Hi all,

Would anyone be willing to share their pediatric procedural sedation order set? Do you ever use propofol drips for more difficult cases to avoid the need for frequent rebolusing given pediatric kinetics?

Thank you so much.

Gina Gayed