After seeing the latest Med Safety Minute, I question what common procedures with insulin drips are here in the US. We only use insulin drips in three situations that I am aware of: 1) DKA, 2) HHS, and 3) BB/CCB Toxicity. I have heard that some utilize insulin drips for those on insulin U-500 instead of carrying the vials/pens. Interested in others.

Please reply with:

Does your institution use non-DEHP administration sets for lipids? If so, any special populations? PI says to consider using a non-DEHP set.

Hello All,
We are currently looking at implementing BCMA in Anesthesia. We are a Cerner hospital and have heard that there are issues scanning the patient-specific labels (vs product NDC) for pharmacy-compounded products. I would appreciate any insight into this as we try to move this process forward.

Hello All,

With a new restriction on pharmacist order verification due to allergy status being missing in the chart, the override pyxis list has been brought up for review.

One of the medications in question is Regular Insulin

We don't have any insulin on the override list

Patient Safety Pro's and Cons of having a short acting insulin on the override list

What do other hospitals do and what reasoning have you come to to allow or restrict its override

Thank You

Hello All, a decision has been made to place a HARDSTOP on pharmacist order verification when an "Unable to Obtain" is entered in the allergy field. Additionally, a pop-up generates when an order is inputted at the CPOE level.

A nurse reminder / order for review populates to remind the nurses that allergy documentation is missing.

Does any other facility place a HARDSTOP of pharmacist verification of orders due to an "Unable to Obtain" allergy status?

I am interested to see how other organizations are set up with their medication safety positions, and what their responsibilities are. Please consider answering the below questions.

How many FTEs does your organization have committed to medication safety?
How many hospitals do those FTEs oversee?
What is average number of beds in your hospitals?

Do your medication safety FTEs oversee any of the following?

I am beginning work ISMP Best Practice 15. I work in a children's hospital.

1. How did you define opioid tolerant in pediatric patients?

2. How did Cerner hospitals incorporate this into their EHR?

Thank you for any input you can give.

I know there has been some discussion about block charting, but we are specifically interested how other Cerner users are putting this workflow into documentation. Also if anyone have policies they would be willing to share as well this would be greatly appreciated!

Thanks in advance!
Melissa Robertson PharmD, BCPS
UofL Health

It has been a few years since anyone has asked the question, so I'll give it a try! How do you dispense HDs that require crushing for administration via an NG tube? Let's assume it is a chemo, and there is no recipe for making an oral liquid. If pharmacy crushes the med and mixes it with water, how much water do you add and what BUD do you give the syringe?

Hi everyone,

I would like to reach out to see if any institution might have had experience on high load of medication request messages to pharmacy, and what strategies you have in reducing med requests (especially in nurse requesting cart fill medications that are already on the floors)

Looking forward to any feedback.

Thank you!

Amy