OR/PACU antiemetic order sets

PLEASE NOTE: Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP).

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to cmichalek@ismp.org.

4 posts / 0 new

Last post

Fri, 07/11/2025 - 11:21

Lindsey M Eick

Offline

Last seen: 12 hours 33 min ago

Joined: 07/12/2018 - 14:13

OR/PACU antiemetic order sets

Hi Everyone
We finally have removed promethazine injectable from our formulary and are now in the process of updating any order sets that have promethazine. Our OR/PACU antiemetic ordersets currently have options for 1st, 2nd and 3rd line nausea medications. Our anesthesiologists are requesting fosaprepitant to replace promethazine, which is very expensive, and would likely blow our budget.

Can you please share your OR/PACU antiemetic order sets/strategies if you do not have promethazine on formulary? If anyone implemented fosaprepitant for this purpose and could share learnings it would be much appreciated!

Have a great weekend!

Lindsey Eick
OHSU Medication Safety

Members Log In