ISMP just added best practice 23 regarding IV push medications. The first bullet point states to, "Optimize the use of ready-to-administer medications."

I think we would all agree that ready-to-use IV push medications provide great safety benefits, but I think we also need to consider the practicality of this recommendation.

Hello,
I was wondering if anybody would be willing to share which pediatric medication orders require dual pharmacist verification (a double check). Please also include your ped services in your response, we have several sites with varying levels of peds services.

Thank you!
Carley

Greetings,

Our institution is revisiting our IV Push medication administration workflow, and we would greatly appreciate your responses to this brief survey, which should only take 1-2 minutes to complete.

Survey link: https://forms.office.com/r/gSyFzLi4Hu

Results will be shared.

Thank you,
Daniel Kudryashov, PharmD, MSL, MHA, CLSSBB
Director of Pharmacy
Keck Hospital of USC

Has anyone transitioned to the U-500 KwikPens at your facility since the discontinuation of the vial?

If so, I’d appreciate learning more about:

- Risk‑mitigating strategies implemented during and after the transition

- Nursing education and rollout approach (e.g., is education provided with each dispense)
- Pen needle supply – who provides them (pharmacy vs. unit supply)

- Storage and handling of pens once dispensed to the patient care area

- Auditing and monitoring processes used post‑implementation

Curious to hear from others who have initiated or implemented strategies for the new etonogestrel REMS (https://www.accessdata.fda.gov/scripts/cder/rems/index.cfm?event=IndvRem...)? We are working through workflow issues for ensuring that providers are REMS certified, particularly in the clinic setting, and if those settings are set to auto-verify. Thanks!
Jeff Moss, Clinical Specialist Pharmacist, Medication Safety Officer/Clinical Effectiveness

Good afternoon,
Does anyone have their inpatient pharmacists performing discharge order verification? If so:

1. What medications/drug classes do you have this enabled for?
2. Any challenges/barriers that have arisen (e.g. delayed hospital discharge, pt. failure to pick up med if processed later than other RXs, etc.)?
3. Do you have a dedicated resource to do this work or is it performed by the pharmacist covering that patient's discharging unit?

Hello,
My organization is doing an environmental scan of how other health authorities are structuring, employing, supporting, and recognizing their Medication Safety Team, as we hope to optimize and further expand our scope and team.

We have an OH&S Safety Practice of using only SESDs in hospital settings for insulin pens and other pen type medications, such as Ozempic.
The BD Autoshield Duo satisfies the SESD requirement, but the pen needles that are provided by the manufacturers are not SESD compliant.

I've confirmed that Ozempic pens can be used and compatible with BD Autoshield Duo Pen Needles.

How has your organization gone about educating and also recognizing a safety practice like this for medications and products like Ozempic?

We have the World Cup coming to the Boston area this June, which is exciting but presents challenges with large international crowds coming to the area. Some specific medication related challenges we are anticipating includes: language barriers, inability to produce language-specific prescription labeling, differences in dosing/indications for high risk meds like anticoagulants/DOACs/insulin, differences in renal dosing between US and international countries, name confusion between US and international brand/generic names, etc.

We have many ortho offices who are mixing and administering multiple medications (2 "caines" and a steroid, or a "caine", sodium bicarb and steroid, etc.) in the same syringe. They all use slightly different formulas. I am looking to see how other organizations meet compliance regulations and increase safety with these processes.

1. Do your offices use a standard formula for joint injections?

2. When mixing more than 2 medications in the same syringe is the mixing done by someone other than the person administering?