Hi Everyone,

Does anyone have kits with controlled substances. I was wondering if you can share your process for counting and accountability of the kits. I am looking to see if I can make a kit for seizures with Midazolam IV and Diastat in the kits.

Hello,

For those organizations that are using IV adapters like Vial2Bag or Vialmate, how does your pharmacy currently dispense these products? Please share how you use ADCs vs. dispensing from central pharmacy department that would be helpful. Also interested in hearing how bar-code scanning is set up - does the nurse scan the vial or the vial and diluent?

Good afternoon

Do you allow titration of vasopressors outside of critical care and procedure areas at your hospitals e.g. do you allow down titration of pressors in step down units to free up ICU/PACU beds?

We are currently in the process of updating our ADC policies and we are interested in knowing of any forced function features that are currently utilized by sites in the dispensing and removing of narcotics from ADCs to help minimize discrepancies. Our health authority currently has both Pyxis and Omnicell and some sites require a double witness on narcotic removal from the ADC while others do not. Just wondering what strategies other sites use (i.e. daily cycle counts)?

If Bud of Iv infusion is 24 hours and infusion time of medicine is 48 hours can we run the same iv infusion for 48 hours

Our Endocrinologists are advocating to allow some hospitalized patients to manage their prandial insulin dosing based on carb counting and carb ratio. I am familiar with nursing-driven carb counting protocols, but not patient-driven. I would appreciate your responses to the below questions:

Hello!

We switched from Definity to Lumason in January 2022 and for the past several months have experienced significant adverse reactions. We made a few adjustments to its use but recently had another major reaction. Has anyone else experienced this?

We met with the manufacturer who indicates there is no increase in adverse reactions over the years and confirmed product safety. However, our experience will likely result in changing products...

Can someone summarize what was said on the January briefing about color coded syringe labels? Is a formal recommendation changing/being released? My audio kept cutting out so I didn't get the full topic and the recording is not posted yet.

Thansk!

I am updating our LASA policy and would like to reflect some of the latest recommendations from ISMP for tall-man lettering. Does anyone have a policy they're willing to share? Thank you!

I am looking for feedback on how other facilities handle orders for IV Push doses of insulin. Do you allow nursing to draw up the doses on the floor or require pharmacy to draw up these doses? If so, do you dilute the doses or just draw up the ordered dose in a luer lock insulin syringe and instruct the nurse to flush post injection? Appreciate any feedback. Thank you!