See attached.

I'm interested in hearing if those who have used Emerphed syringes (ePHEDrine 25 mg/5 mL) from Nexus received reports of difficulty administering. Specifically, the syringe connects via Luer but solution is not able to be pushed through the tip. We reported an event to Nexus in February and they responded that they haven't received any similar reports and will monitor. We recently experienced an additional event and are now looking at alternatives.

Hello All,

Our current orders for long-acting insulins include an order question prompt "If NPO:" with options of Give dose as ordered, Contact provider for instruction, Decrease dose by: 25% or 50%, and Other (see instructions). The response defaults to "Decrease dose by 50%." The orders also have admin instructions that state "If the patient has a future NPO order, use the reduced dose starting 12 hours prior to the NPO order. Continue the reduced dose while patient is NPO. Resume full dose when a diet is resumed."

Is anyone experiencing a specific lot# of Flulaval that is not barcode scanning properly?

Hi all -
If anyone is utilizing the ICU Medical Rio drug reconstitution transfer device, I would love to hear about your experience.
Thanks -
Maria Cumpston, PharmD, CPPS
WVU Hospitals
Morgantown Wv
Cumpstonm@wvumedicine.org

Polling question. Do you require indications on new medication prescriptions through your EHR?

1) Yes, indications are required on ALL new prescriptions.
2) Yes, indications are required on SOME new prescriptions, if so, please expand.
3) No, we do not require indications on any new prescriptions.

Our organization is a 2, we require indications on all new med prescriptions from the inpatient setting and on any anticoagulation orders in the ambulatory setting. Hoping to pursue expanding this to require on ALL new prescriptions.

If you have fosphenytoin in your IV and syringe pump drug libraries, how is it built since the units are mg PE? Our Plum360 pumps and Medfusion 4000 syringe pumps (for NICU drips) do not have PE as a unit option, but Meditech has fosphenytoin doses in PE, so having the units in mg on the pump can cause confusion with nursing.

Testosterone cypionate injection comes in both single-dose vials and multi-dose vials. The packaging label states the single-dose vial is intended for a single dose.

Questions:
-For community/outpatient, do your pharmacies dispense the 1 ml single-dose vials to be used for multiple dosing?
-For hospital/clinic, does your hospital/clinic administer multiple doses from single vials?
-What strategies are being used, if any, to reduce costs and waste associated with using multiple single-dose vials?

Is ampicillin on your override medication list? if not, how does your institution ensure that there is no delay in administration for GBS+ patients? is it part of an admissions order set?

Hi
Our NICU wants to be able to order sodium chloride 0.225% IV PRN for replacement of high output (urine output or gastric stump output). They would like to reserve it for patients with hypernatremia (+/- hyperglycemia. We are hesitant given how hypotonic the fluid is and potential safety concerns.

Does anyone allow this to be ordered, and if so what safety parameters have you implemented to prevent it from getting run alone/continuously? Would appreciate any other feedback to help us make a smart and safe decision!

Thanks
Lindsey