I am wondering how hospitals with pediatric units manage orders for doses that are < 0.2mL (or some other small value)?

Does the pharmacy draw all of these doses and send to the unit?
What is your cut-off volume for pharmacy preparation?
What are your EHR dosing rules to accomplish this?

We have a Urogyn clinic using fluorescein with botox injections for Overactive bladder. I am wondering if others have seen these two medications used together in Urogyn clinics. I have not been able to find literature to support this use - so curious if others are using. Thanks!

Hi All,

Do you have any buprenorphine policies you are able to share? Looking for information on prescribing and dispensing restrictions in an inpatient hospital. Same for methadone.

Thank you!

Hi All,

Do you have any buprenorphine policies you are able to share? Looking for information on prescribing and dispensing restrictions in an inpatient hospital. Same for methadone.

Thank you!

At your institution for continuous infusions, including IVF, do you have a guideline/policy regarding how much volume can the VTBI (volume to be infused) be set for on the pump? 1 hour worth of fluid? Two? More? And rationale if you know it.

Thanks.

Hi Everyone,

Hi All,

We are working through improved notification of NG/OG tubes as it relates to medications that cannot be crushed.

How does your institution make sure meds that cannot be crushed, are not crushed?
Are you doing anything unique?

We have locked down order sets routes (e.g. only available by oral route), included information on the ADC that is on the order, and have added administration instructions, "do NOT crush".

time critical meds categories here at our institution is fairly broad, general stating 'antibiotics, anticoagulants, pain meds'. a specific medication list that identifies unique names of drugs -does anyone have one to share? how does your hospital define time critical, 30 minutes, scheduled meds only? jbrady@svmh.com

Dear Medication Safety Officers,
In preparing Hypertonic saline 3% as nebulization from the IV product, does it need to be prepared in sterile area as IV preparation?
If Yes, can oral syringes be used instead of IV Luer Lock Syringes that is potential to cause harm if given IV by mistake

Iam curious to know your practice around

Our pharmacy technicians are finding empty plastic bags from medications with patient name and other identifiers in the trash. What are nurses at your institution doing to keep this information confidential? Black out name with sharpie or label? Other?