Our institution has traditionally tested compounders in every individual location (Main pharmacy cleanroom, OR satellite, Cancer pharmacy cleanroom, etc.) My question: is this the practice at your facility?

Hello,

Our health system owns urology clinics that are compounding BCG in their offices. With the rollout of USP 800 we are working to try and give them practice guidance.

How does your system or physician offices handle BCG compounding? If you could share any polices or SOPs you have on this topic that would be appreciated.

Thank you,

Miheret Tesfaye
Medicaiton Safety Officer
Wellstar Health System

Has anoyone seen an increase in anaphylaxis or anaphylactoid reactions with cefazolin use in the last 6 months? We are assessing some cases as a group to look for common denominators as requested by our providers. Thanks ahead of time- would love to discuss if you have any suspicions.

Has anoyone seen an increase in anaphylaxis or anaphylatoid reactions with cefazolin use in the last 6 months? We are assessing some cases as a group to look for common denominators as requested by our providers. Thanks ahead of time- would love to discuss if you have any suspicions.

Happy New Year all! Is anyone having an increase in reported paclitaxel infusion related reactions? specifically with the PremierProRx or Anthenex manufacturers?

Thank you,
Amirah

Is anyone filtering IVIG doses that the pharmacy is drawing up and pooling into bags? We had an issue in the past with the silicone oil in syringes used to transfer the product to bags, creating particles. We started the practice of filtering when preparing and on administration but this is time consuming and we are curious what others are doing.

Thank you,
Shannon Manzi
Boston Children's Hospital

How are other organizations handling Bicillin L-A 600,000 units/mL shortage? We have the 1.2 mu and 2.4 mu syringes still available but treat a pediatric population that may need a partial dose. There are no markings on the syringe. How are nurses administering a partial dose? Are nurses transferring it to a different syringe or is pharmacy preparing it?

Hello,

I am wondering how other organizations prepare blood factor doses in the pharmacy if you have a iv workflow management system. Do you round the dose of blood factor vials (i.e Recombinate, Benefix) to a certain value? We currently do for KCentra only. Because the other factors have a variable range of units, we cannot use our IV workflow management system (we utilize DoseEdge) to prepare doses of blood factors and are looking for potential ways to do so.

Is anyone using the Vancomycin 1.75mg/350mL premix IVPB having issues with the bags bursting when tubing? We just started using these a week ago and have had 3-4 bags burst. Reaching out to the manufacturer (Xellia) but wondering if others have experienced this also? Thanks.

We have been working on a solution that involves pharmacy compounding our bupivacaine w/Epi doses. Interested in what other facilities are doing to combat the shortages. Thank you!