http://www.acep.org/webportal/PracticeResources/issues/jcaho/jcrxreview040907.htm So their idea now is that every med order has to be reviewed and approved by a pharmacist. I'm fine with the review concept. My concern (and the concern of every EM related professional body) is that the time involved will cause long delays in getting meds to patients. They have some theoretical exception for "emergent" doses but they don't explain what that is or how it works. So as it stands we have been screwed by CMS and forced to meet their poorly thought out and medically dubious "core measures" which include "timely" administration of meds. Now we will be prevented from giving meds in any sort of timely manner because all orders will have to be reviewed prior to administration. Fortunately there's a group of docs who can just be thrown under the bus and forced to live with and take culpability for these moronic schemes. Don't you love being an EP?