Hello! We are currently evaluating our processes for how potassium chloride is administered at our OP Infusion and Oncology centers and looking to compare our practices with other facilities.

For both types of settings:

Do you utilize only manufactured IVPB or do you allow compounding of custom concentrations?

Do you have policy regarding the maximum concentration that will be utilized for peripheral vs central line or port? Do you utilize the same minimum concentration regardless of type of IV access available?

Hello all,

I was wondering if anyone has any strategies at their facilities to ensure compliance with ensuring nursing is changing TPN tubing with every TPN exchange other than pharmacy providing the supply. Looking for anyone who may have some sort of forcing function rather than memory function strategy to support our nursing partners and safety.

Does anyone have a process map for pump integration steps that could be used for a FMEA that they would be willing to share? EPIC-Alaris preferred, but others could be helpful as well. Thank you greatly!

For children’s hospitals that are integrated within adult health systems and share an Epic EMR, do you have a structured process to ensure pediatric‑specific considerations are incorporated into medication builds?

Specifically, how do you ensure that elements such as dispense logic, dose warning alerts, smart pump guardrails, and other safety checks are optimized for pediatric use—even when a medication is not commonly used or intended for pediatric areas?

will share results !
https://forms.office.com/Pages/ResponsePage.aspx?id=6lcaCs-VJkuuTbGGx5NX...

Hello,

We recently identified an IV pump from an outside facility that had a different pump library had made it into our circulating inventory of IV pumps.

Looking for any approaches or best practices others would be willing to share? Thanks in advance!

Good Morning,

For organizations using Epic:

We are trying to see what other organizations have built for alerts/information provided at the time of e-prescribing to help providers recognize when dose adjustments may be needed. We learned that we have the option to add a lab report section on the same screen where you enter the E-Prescription that shows the pertinent labs based on the med being ordered (looks back at the last 3 values w/ no time limit). Does anyone else use this type of functionality or have other alerts built for e-prescribing?

I’m reaching out to see how other institutions are handling the use of B. Braun Add‑EASE® / container connector systems when the attached vial contains a liquid medication (not powder).
We recently encountered concerns suggesting that an Add‑EASE® phenylephrine bag may not have been activated prior to administration.

This has prompted us to re‑evaluate whether these systems are appropriate for high‑alert medications or liquid formulations, where there may not be a clear visual cue that activation has occurred.
I’m interested in learning from others:

Hello,

Are there any sites utilizing an Epic Order Panel for SSKI/potassium iodide oral solution that supports indication-based ordering—such as for thyroid storm, or thyroid gland protection during radiopharmaceutical procedures? If so, could you describe how the panel is structured, including details like context or age-based logic, and dose rounding or allowed increments (e.g., 50 mg or 0.05 mL)?

Thank you,
Melanie Al-Rousan