Good morning MSOS Team,

1) We have CareFusion pump.
2) We do not have pump integration into the EMR, nor do we have asset tracking.

My question is "what is the most common way that we can identify patients in their pumps?" Please advise.

Thank You,

Maggie Ton, Pharm.D, SIDP, CMSO, APh.

Hello, reaching out to ask about scan on dispense functions for Cerner. I cover a health system with both Epic and Cerner sites - the Epic sites have the 'dispense prep' and 'dispense check' functions that require scanning during technician prep and pharmacist check. The Cerner sites however have a completely manual process, no scanning required. Are there any Cerner sites that currently have a scanning process in place before meds leave the pharmacy? If so is that through Cerner, or through an external platform such as PharmacyKeeper? Thanks - Erin Cagadas

Hi Everyone
We finally have removed promethazine injectable from our formulary and are now in the process of updating any order sets that have promethazine. Our OR/PACU antiemetic ordersets currently have options for 1st, 2nd and 3rd line nausea medications. Our anesthesiologists are requesting fosaprepitant to replace promethazine, which is very expensive, and would likely blow our budget.

Do any institutional outpatient pharmacies using Willow Ambulatory have a process that incorporates therapeutic equivalency ratings into workflow when selecting an NDC? We are exploring the best way to incorporate annual Orange book updates using the excel data files, but then need to routinely monitor and update with the monthly additions/deletions orange book puts out.

Hello!

We had recently started oncology services in our hospital. I wanted to ask experiences with competency assessments in your facility. Whether standardised or in house assessment carried out? If standardised, can you provide some examples with costs incurred. If in house, how did you go about implementing it?

Thanks
Shamsiya

Are there early words of wisdom on this 7/8 BD Alaris device letter (first attachment) concerning the pump module and potential over and under infusion / inaccuracies versus manual standards on rates < 1 mL/hr and volume < 1 mL. We are currently pulling data on medications and profiles connecting to these rates/volumes (second attachment).

There is connectivity to both peds and adult practice with these rates, so we are starting a workgroup next week to discussion. Seeking early discoveries and potential next step ideas.

s/b: pt is 12 month old, in ER for bite. pt required tetanus/diptheria shot as part of care. pt was ordered a tdap order which is for peds 7years old and older instead of DTaP

curious what forced functions facilities have utilized to better identify the correct vaccine. we currently have epic

Hello everyone,

What are your practices around patients coming in on a patch? If the provider orders for it to be continued inpatient, do you leave the patch on and apply the next patch at the next due time? Or do you automatically switch to your own patch without waiting for the next due time?

Thanks!
-Saduf

Hello everyone,

Our institution has encountered several reported errors related to the programming of CADD pumps. Because this is a low-frequency but high-risk workflow, nurses often feel unsure or unfamiliar with how to properly program the pumps.

I’m reaching out to see if other health systems have implemented any specific safeguards or best practices to support safe administration and reduce the risk of error. Any insights, tools, or workflows you’ve found effective would be greatly appreciated.

Thank you!
Dominique

Hi all, we have seen an anecdotal (at this point) increase in post-partum hemorrhage over the last week, even in patients that have received usual amount of oxytocin. This has befuddled the medical director, and she is curious if there is a potential issue with the product we are using. Has anyone else using 503(b) oxytocin experienced anything similar recently?

Thanks,

Kara Thornton