Hi All
Looking for some guidance on how to handle electrolytes and high alert policies. Currently IV electrolytes are considered high alert for our pediatric patients, however we are trying to figure out how to best handle other situations that may be considered high alert, in particular concentrated electrolytes.

I was wondering if any one can share specific order sets they have developed for On-Q pumps?

On behalf of the inpatient pharmacy department at Hershey Medical Center, I am reaching out about guidelines institutions may have in place for pediatric dosing. Specifically, I would like to know if you have weight and/or age cutoffs for sterile IV preparations for pediatric doses.

Hi,
Does your institution require a chemo certified nurse to administer ganciclovir IV? Thanks.

-Dominic

Hi all,

I am currently piloting safety walk rounds at my institution. In current state, the Patient Safety Officer and I will go to random floors monthly and speak with front line staff to see how things are going and if there are any opportunities. It has been successful so far but there is a gap in structure (i.e. we like to include nursing managers and sometimes they are unavailable), documentation, follow up, and report outs from the walk rounds.

Hello- When patients receive medications via Patient Assistance Programs, they reach our infusion center by being shipped/signed for by the hospital's receiving dock staff where they are parsed and then delivered to the pharmacy. We have recently had a couple instances where the (expensive) medications have gone MIA after being signed for at the dock. Wondering if anyone has a more fool-proof method for keeping chain of custody from receiving dock to pharmacy they can share. Hoping for something beyond just following the package tracking information. Thanks.

We are currently reviewing our system coordinator position for Controlled Substance and Diversion Prevention and I was hoping to get some input on what other organizations have done for this type of position.
1. Do you hire pharmacists, nurses, pharmacy technicians, etc..?
2. Would you please share job descriptions?

Thank you in advance for sharing!

Our Regulatory folks just returned from a conference and a presentation by Robert Campbell. The take home message was that the JC will be be changing their attitute towards titration range orders and will be looking instead to the compliance to the institution's own policy. I have attached the policy verbiage from the presentation, has anyone else tackled this one recently? I'd love to hear of any successes with the JC and titration range orders.

Hello,

If you have a network/VP/other Medication Safety Officer role, would you mind sharing the Job Description? If you have insight into the role that is not included in the JD, I would be interested in hearing that as well. Thank you! ---Jeff

ISMP has removed the Do Not Crush list of medications from their website. We have a link to this list in our EMR for nurses/pharmacists to check if the medication can be crushed.

Trying to figure out how to handle this moving forward.

Does your facility have and maintain a do not crush list of medications? If so, how does this procedure work? Only for formulary medications? All medications?

Thank you in advance for all of your help!