Hi all - Do your institutions restrict the use of phenobarbital loading doses specifically (either for alcohol withdrawal syndrome or seizures)? Are they only allowed in ICU/ED or certain units or do you allow it anywhere?

Thank you!

Is anyone else practicing where atropine (NDC 64253-400-30) and/or calcium chloride 10% syringes (NDC 64253-900-30) are in the soft packaging and visually look like BD sodium chloride 0.9% flush syringes when face down? There was the recent ISMP MedAlert highlighting this concern as a safety brief (Volume 30 Issue 3 from Feb 13, 2025). We are switching our calcium chloride back to the box packaging to prevent medication mix up errors. If this is happening anywhere else, I'm curious if there are safety strategies being utilized that have been found to be effective. Thank you!

Is anyone else practicing where atropine (NDC 64253-400-30) and/or calcium chloride 10% syringes (NDC 64253-900-30) are in the soft packaging and visually look like BD sodium chloride 0.9% flush syringes when face down? There was the recent ISMP MedAlert highlighting this concern as a safety brief (Volume 30 Issue 3 from Feb 13, 2025). We are switching our calcium chloride back to the box packaging to prevent medication mix up errors. If this is happening anywhere else, I'm curious if there are safety strategies being utilized that have been found to be effective. Thank you!

Does anyone have a list of areas where only preservative-free anesthetics are stocked? Or do you stock both and just make sure to label accurately in your ADC description?

Hi All,

We are looking to clarify our MSO Job description in terms of the qualifications required or preferred for any future candidates. We are a pediatric institution but would like to hear from adult and combination adult/peds institutions as well. 

Currently our MSO JD states PGY1, PGY2, and medication safety experience all are required or PGY2 medication safety residency with pediatric clinical experience required.

Hello,
We are currently standardizing our insulin pump refill dispensing workflow and would like feedback on your approach.

Hello everyone - I have two questions on very different topics:

We are a children's hospital with a lot of kids who are refractory to different neurological treatments for seizures. Many of them are able to use Epidiolex, if prescribed by Neurology or Heme/Onc/Pallative Care, but there still some patients who can only be controlled with non-FDA approved cannabis. Most of them acquire them from a dispensary and are approved by their provider for use in controlling their seizures. It can be problematic when they have to be admitted and Mom and/or provider wants them to continue to use.

My organization recently switched from the "old" version of Cardinal's enteral pump to their newer model. Issues have been reported in our PEDS/PICU related to occlusion alarms. Nurses overall are not happy about alarm volumes in general (too quiet). Are other hospitals having similar experiences? Do you have troubleshooting tips to share?

Thanks,
Stacie Ethington MSN, RN
Nebraska Medicine

Good afternoon everyone,

Does your health-system have a pharmacy peer review program and how is it implemented within the organization? I would appreciate any responses including materials that you may have and willing to share (e.g., policy, charter, etc.).

Thank you!