Topical epinephrine bottles look very similarly to injectable epinephrine 30ml vials. What safeguards do you have in place to prevent errors with these medications (e.g. topical drawn up and injected)?

Hi I am looking for any information about your hospital's policy for KVO. I have searched and found no specific data and very few articles. Some data I have seen has rates as high as 50 ml/hr, while most of the list serves say it must be MD order specific.

Hello,

We are considering implementing order questions to guide non-oncology providers through ordering antineoplastics for non-oncology indications (eg. methotrexate for RA) or for continuation of oral chemotherapy. We want to include questions that require some sort of verification step (with patient/family, home pharmacy, or outpatient provider).

Have any of your institutions implemented something like this and would you be willing to share the types of questions?

Many thanks,
Lauren

Does anyone have any experience using liquid glycerin suppositories for neonates? If so, how are these prepared and administered?

Hi, We are trying to reduce the variation in how we secure and keep track of PCA keys. We are thinking about putting them into our automated dispensing machines (ADM), but not all of our areas have them. Plus even in the areas that keep the keys in the ADM with the keys do not create discprencies as we have it set it up so that they can remove and put back the keys.

Where do you keep the key(s)?
How do you keep track of who has the key(s)?

Thanks ~Jenn

Hi MSOs...

Quick question:

Has your hospital started receiving any of the new ENFit equipment yet with the new ENFit connectors? If so, what have you received so far and what brand is it?

Thanks,

Mike Cohen
ISMP

For those organization which dispense IV lipids separate from TPN, are you seeing an increase incidence of cracking and/or leaking at the bag insertion site?

Thanks
Sean O'Neill
The Children's Hospital of Philadelphia

If you allow IV administration of injectable promethazine, can you please share what restrictions/guidelines you have put in place for safety?
thanks

Does anyone have a policy on how they are managing and addressing the Drug Supply Chain Security Act changes that affect dispensing from Pharmacies effective July 1, 2015?

Which agent do you use for treating IV infiltration/extravasation?
phentolamine or terbutaline?
Our priamary agent is phentolamine, but considering terbutaline as permanent alternative due to mfr supply issues with phentolamine.
For those instituions that use terbutaline, can you comment on its effectiveness?
thank you.