We operate an outpatient pharmacy at a rural hospital and are completing ISMP's Community/Ambulatory Self Assessment. We are assessing questions # 48 and #49 which state:

48. The pharmacy has a formal policy to assess and clarify any unusual doses or uses of medications before dispensing.

49. Pharmacists have a written policy to follow, to easily and effectively resolve conflicts when prescribers do not agree with their expressed concerns about the safety of an order.