One of the requests members made during the recent MSOS meeting in Boston at the ASHP Summer Meeting was to add an Excel version of the ISMP Quarterly Action Agenda along with the PDF and Word versions we publish every 3 months in the ISMP Medication Safety Alert! This week's publication (QAA for April-June) will add access to an Excel formatted version. Thanks for the suggestion. Chris and Mike

I am trying to see what Oral Dextrose product do other hospitals use for their Neonates and Peds? Thank you.

Good Evening-
Our organization has recently standardized all intravenous smart pump technology and drug library content across our health system (11 hospitals). I am reaching out to see what strategies have been successful at other institutions in implementing and sustaining a control plan for smart pump technology. We have been provided a guide by our vendor (BD), but I wanted to see what strategies others have used to ensure active multidisciplinary engagement.
Thanks!

Hi,
I know that Potassium Chloride infusions have been a topic of discussion in the past, but I wanted to know if any institutions have specific policies in place about maximum doses. Currently, we have restricted 20 mEq/100 mL infusions to the CCU/ICU only for patients with Central lines. Do other facilities restrict 20 mEq's to central lines only, Telemetry patients, etc or does anyone have any other policies? We're curious to see how other places handle this.
Thanks in advance,
Lana Bell

IV/PCA narcotics transitioning to Oral- what do your institutions include in labeling comments area to address instructions on weaning off IV to PO? hold if RR<8 for example? What other important instructions are added to notify nurse and minimize redundant phone call to provider? Thank you.

Hello!

I wondered if anyone might be able to comment on their current practice with ophthalmic products and their management when it comes to Ophthalmology consults / exams.

We are recognizing that there are some ophthalmic products that make their way into the hospital setting in ophthalmologist "pockets" from their outpatient practices and used during their consultative exams, etc.

If administering vinca alkaloids as an IVPB, does pharmacy dispense with primary or secondary tubing?

On a related note, if using secondary tubing, what is the nursing procedure in case of an infusion reaction?

Thank you,
Daniel

Is there an expectation to document medication history for patient encounters in Ambulatory Infusion Centers at your organization? If so, who is responsible?

Thank you,
Daniel

Please take a minute to respond to this brief survey regarding propofol controls. A summary will be provided.

https://forms.gle/FvxWydNBu7L4vFbX7

Thank you,
Daniel

Hello everyone - We are currently looking into modifications on how we order fentanyl patches to ensure we communicate appropriate application instructions, warnings, dose recommendations, etc. Appreciate if anyone is able to share examples of their IT builds for ordering. We are an Epic institution. I have reviewed UserWeb and examples there are mostly order sets, but we are trying to build these around a single orderable to account for medication reconciliation and reduce excess burden in ordering.