Greetings,

Our organization is updating our patient transport policy. It contains many things unrelated to medications, but it does contain a section speaking to which medications require a nurse to transport the patient.

Wondering if you have something like this do you
a. list specific medications (nursing wants this)
b. list classes of medications
c. provide non-specific guidance based on patient stability, medication titration need, or mention of high alert medications or medications that require a double check on handoff.

Wondering if any facilities are co-infusing ketamine/lidocaine infusions via the "y" site? If your facility is currently co-infusing at the "y" site would be interested in discussing with you the literature that you are using to support this practice.

Does any facility have an approval process to give biologics inpatient? Due to reimbursement issues, the thought is to try and wait for discharge. Sometimes this cannot be the case. Looking to see which ones are approved for inpatient use and the criteria.

Do you require nurses to scan each item upon removal from the Automated Dispensing Cabinet (ADC)?
In my system one hospital does require all medications to be scanned upon removal, and the other seven do not. We do have bedside barcode medication scanning.
We are discussing requiring scan on removal across the system for certain medications stored in the ADC refrigerator because of the risk of removal of incorrect product from the bins in the refrigerator.

We are working on simplifying are medication event reporting process and are looking at the different subcategories we have for medication events. In current state a reporter would choose "Medication/IV" to report a medication event and then there is a list of 18 different subcategories, one which is called "Other Medication Event" and gets used the most so the subcategories are not helpful for pulling data and trending.

Hello. I was wondering how other institutions dispensed Bicillin L-A when the 50,000 units/kg dose is being used. Do you dispense the whole syringe and have the nurse prepare the dose or do you prepare the dose in pharmacy? If it's prepared in pharmacy, any special precautions taken to avoid IV administration?

Dear MSOS Members,

My name is Eman Yonis and I am completing a medication safety rotation with Dr. Michael Dejos, the System Medication Safety Officer of Methodist Le Bonheur Healthcare. We are conducting a brief survey to gather pharmacists' perspectives and experiences regarding the Clozapine REMS program. Your participation will help us better understand current practices and guide future improvements to ensure safe and effective clozapine use for various settings. The survey should take only a few minutes to complete.

Hi,

How do you currently manage the storage of patients' discharge medications that require refrigeration while awaiting discharge? We’ve had instances where parents pick up their child’s refrigerated medications, only to find that the discharge has been delayed. I’m curious if anyone has developed a solution for this situation.

Thank you,

Helen Lee

Our organization has been using sub-anesthetic ketamine at all levels of care for many years. We currently restrict to ordering provider from Anesthesia, Pain Providers, and Pediatric Critical Care Medicine. Recently we had a request to expand our current restriction to allow our Trauma Surgery providers to order subanesthetic ketamine without an anesthesiologist or pain medicine provider on board.

How do your organizations manage sub-anesthetic ketamine?

Thanks,
Sloane
Nebraska Medicine

Hello!

Anyone else hearing / receiving reports of patients having seizures with administration of ertapenem...?

Our organization has heard of four patients experiencing seizures in the last week or so.

Oddly, involving two different manufacturers and varying lot numbers...

NDC Code(s): 55150-282-20
Packager: Eugia US LLC
Lot 2E124020A
Expiration 12/31/2025
Lot 2EI24089A
Expiration: 4/30/2025

NDC Code: 60505-6196-0
Packager: Apotex Corp

Thanks in advance for any responses!
Emily