Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Hi Med Safety colleagues.

I am curious to know if any of your organizations have guidelines or policies that address a process by which physicians are "required" to review and/or reconcile "provider held" medications against the patient's active med list to ensure that the holds remain clinically appropriate. If so, would you be willing to share?

Also, do you allow "provider held" medications without defined durations or eliminated it after the fact? If so, how did you get physicians to buy into this change?

In our hospital, we featured a "Best Practices Hieroglyphics" challenge in our monthly newsletter to raise awareness on ISMP's best practice #3.

You are welcome to use it in your organization as educational material if you think it would be helpful to your staff.

Hospitals that use an EHR other than Epic will need to edit it with some creativity. There is also a reference to a Baltimore sports team that may be more difficult, depending on where you're located.

Is anyone seeing trends with Beyfortis and fevers?

Hello
i am curious if other med safety officers have utilized AI in their wokflow? we have copilot built into my microsoft docs and ive done mostly for admin tasks - summarize info, emails etc.

During a recent regulatory accreditation survey, the surveyors wanted to see the protocol details within the medical record at the time the protocol initiation order is placed. We currently link the protocol to the order. Staff can click on it to view the protocol but it isn't face up in the EHR.

Wondering how other organizations have protocols integrated into the EHR. How have you accommodated longer protocols or ones with flow diagrams?

Good afternoon,

With meperidine shortage, what medication(s) are you using to treat shivers/rigors post op/ATG/amphotericin in pediatric patients? Please share dosing if available.

Thank you,

Helen Lee, PharmD, BCPS, BCPPS

Medication Safety Officer

Pharmacy Residency Program Director

T   786.624.2430

E   Helen.Lee@Nicklaushealth.org

W  www.NicklausHealth.org
 

Hi everyone,

I’m reaching out to gather some insight on how your institutions manage heparin protocols. Specifically, I’m curious to know:

Does your facility have a nursing-only heparin protocol, or is pharmacy involved in the process?

If it is managed solely by nursing, does pharmacy verify all rate changes, or is that left entirely to nursing?

We’re currently reviewing our own practices, and I’d really appreciate hearing how your teams approach this—especially regarding workflow, safety checks, and any challenges you’ve encountered.

Thank you!

Has anyone come across issues with IV infusions still running on patients after a discontinue order has been placed? If so, what have you done to address it? I'm just starting to look into the workflow, but it sounds like it's mostly manual process without any alarms, alerts, etc., despite Epic/Alaris interoperability being in place.

Thanks!

Hello! Does anyone allow the use of buffered lidocaine, j-tips, urojet, or other topical local anesthetics within 96 hours of Exparel administration?

Thanks!