MSOs who have ambulatory care locations, do you have standard 'emergency medications' available in these locations? If yes, can you share your standard list. Our organization is working to standardize the medications stored for this purpose in outpatient locations. Thank you!

Hello,

How is soft (and/or hard) minimum for continuous infusion dosing set in your smart pump library for medications that are titrated to the effect and then weaned off (e.g., vasopressors)?

Thank you in advance.
Viktoriya

One of our pediatric pharmacists has floated the idea of requiring dual pharmacist verification of pediatric orders. We are not a pediatric hospital, but do have a robust NICU, PICU, Peds, and Pediatric ED.

I can't really find any best practices regarding this topic, but I would like to get a feel for other institutions on whether double pharmacist verification is required for Peds patients.

Thank you!

Hello Med Safety Officers,

Good afternoon -

As our institution adopts the use of more biosimilar products, the question came up of the appropriate naming convention in the EHR and other places and evaluating possible safety impacts/look-alike, sound-alike risks.

Does your facility allow fentanyl to be administered IV push? If so, do you have restrictions around this? Specific indications? Allowed only on certain units? Are nurses allowed to administer? Thanks,

Cortney Swiggart PharmD
System Medication Safety Officer
Methodist Healthcare

Interested to see how other institutions handle cyclosporine oral solution dispensing. We currently dispense as the bulk bottle with the manufacturer syringe but have seen errors and confusion surrounding utilizing the bulk bottles. I have heard other institutions have made this oral solution a dual sign off product. Curious to see what other ideas are out there.
Thanks -

Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Hello! The state of Nebraska has recently changed legislation that pharmacies can no longer repackage medications. Normally for our LTC/AL communities pharmacy would repack VA meds into our bublle pack system to ensure safety. Now with this new legislation pharmacy can no longer do this. Does anyone out there have experience with this? How do you ensure safety with medication administration when the medications can't be put into bubble packs?

Can anyone elaborate on their experience with regard to pharmacy led (medication focused) collaborative medication safety rounds? What do you look at/for during your rounds, if such exist at your institution?

Our compliance officer came to visit me yesterday and asked about what other institutions are doing to mitigate the risk of personnel exposure to fentanyl derivatives that may be on a person or their belongings.

I have not heard of any policies or information about appropriate gloves to use for decontamination.

Do any of you have any experience with this? Do you have a written policy/procedure or standard work for this kind of situation.