Hello group,
I am revisiting phenobarbital prep and administration for neonates and looking for safest practices. I'm mostly focused on loading doses and undiluted drug but open to more general info (65mg/mL and 10mg/mL are both on the ISMP/VON list, with the comment that maintenance doses might be unmeasurable without dilution).

We are a metropolatin Level 1 trauma center who is expanding our Emergency Department. Currently, we have Omnicells in the "open" area around the nursing stations/computers. The ED staff prefers this; the leadership team is considering closed medication rooms with badge access. For Level 1 TC and busy EDs: do you function with medication rooms or ADCs in an open area?
Thanks ahead of time.
Mary

Hello - We are currently evaluating the possibility of adding additional anticoagulation pharmacist support at our institution. We are not able to wait for RxOps data, so answering the following questions would be very helpful. Thanks!

1. Do your hospitals or clinics have an anticoagulation pharmacist? If so, how many?
2. Are they providing inpatient or outpatient anticoagulation support?
3. How many patients on average does each pharmacist manage (inpatient/outpatient)?
4. Do the pharmacists bill for their services?

Thank you!

Hello MSOS members, our institution is looking to create a pediatric guideline for IV medication administration. We are intending to create a table to guide nurses as to what meds and doses are appropriate to give on a pediatric unit for pediatric patients. The table would include information on monitoring parameters, IV Push, etc.

For reference, we have a pediatric unit within a community hospital. We are currently using meditech and soon transitioning to Epic.

Hi All
We are in the process of reviewing and updating our pediatric context settings for medication prescribing. We recently had an error in dosing of tablets for an outpatient pediatric patient. When reviewing the error we noticed that there are no peds settings (wt based dosing units) on the medication and many of our medications that are NOT liquids.

Hello!

Was hoping to gather a little insight on practices related to Medication Samples Utilization at your organizations...

If you have 5 minutes - would you please mind submitting your responses to the brief (6-9 question) survey here: https://forms.office.com/r/KkZw1x8jDK

Happy to share the results / responses.
Thanks in advance!
Emily

My organization (UW Medicine) is soon going live with Alaris-Epic smart pump interoperability and we have been working through the concern raised in a recent ISMP Acute Care Safety Alert newsletter from 3/13/25. In brief, the issue was that a nurse mistakenly associated a medication-containing bag (amiodarone mixed in D5W) to an order for D5W because they scanned the manufacturer's barcode on the D5W bag and not the patient-specific label applied by the pharmacy. This resulted in the amiodarone infusing at the prescribed rate of D5W (much faster than intended).

Hi everyone,

We are interested in exploring options for pharmacy user-specific dashboards to help track and measure pharmacist compliance with various clinical and operational activities. I’m reaching out to ask if anyone has been successful at doing this and if you would be willing to share examples of how you’re doing this at your institution.

Specifically, we’re interested in dashboards that capture metrics like:

Hello all,

Do you supply all oral neonate liquids in patient specific doses or would you ever supply a unit dose cup/syringe and RN has to push down to the specific dose or draw up what is needed?

Thank you!
Diane Simko

Our infection control has identified some opportunities in documenting tubing changes. Right now in EPIC, this flowsheet row is in the IV assessment flowsheet, and only allows entry of a date and time, and no comments for which medication.

Looking to see if anyone has optimized this workflow. We are looking for ways to possibly link a flowsheet row to the MAR. Any ideas on how to make the documentation easier for nurses would be appreciated.

Thank you,