We are trying to implement a "Good Catch" award program and was looking for any suggestions, recommendations, ideas, etc from other organizations. Thank you

Wondering how others dispense chemotherapy with a SUBQ/IM/IT route in regards to CSTD. I am taking over from another team member who is no longer with our organization and a couple of years ago it was decided to dispense the syringe with the PhaSeal Optima injector still attached and then that is removed and the needle attached immediately prior to administration. I am now getting questions from nursing on this and I don't know why that decision was made a couple years ago in the first places so just curious as what other institutions do. Thanks!

My institution is starting an open heart program and I am working on the safe storage and dispensing of the cardioplegics and reperfusate. We will have one OR room and a Pyxis specifically for this room. How do others store their cardioplegics inside and outside of the pharmacy? For the Pyxis thinking of devoted tower door(s) where only these will be stored with labeling on the door. Thanks!

Is anyone supplying naloxone to the morgue staff? We have had a request to provide to the morgue in case of exposure to unknown substances (topically or inhalation). If this is being provided were team members educated on use and who monitors expiration dates? Thank you.

Hi All,

A question was raised at our institution regarding best practices for flush and maintenance fluid compatibility with IV Bactrim. I am hoping to learn more about standard practices across the country with regards to this specific medication combination as the compatibility data is dependent upon concentration and time in-line.

Has anyone had success implementing a nursing compounding double check process for items compounded on the unit?

If so, can you share how you delineate your definition of "compounding" i.e. are vial to bag types excluded, entire vial administered, etc.

Of course we minimize unit-based compounding but there are times when it must occur for one reason or another.

Also, how do you document this in your EHR?

Thanks in advance!
Dana

I am located in Kentucky and our state organ donation group, KODA, has a paper they provide to nurses with "orders" for the organ donor to receive once care is turned over to the KODA team. This paper order has IV levothyroxine IVPB listed which is different than what my healthcare system utilizes. I was just curious if anyone would share what concentration, fluid, and BUD your system uses for levothyroxine IVPB and/or what is utilized for organ donor patients?

Thanks for the help!

Jamie Mahan

Our organization is in the process of converting all outpatient and inpatient topiramate oral solutions over the the new commercially available product. We use Epic as our EMR and wondering what safety measures other organizations have used to make this a safe transition.

On the in-patient units we were compounding to 20 mg/mL to match ASHP Standardize-4-Safety, but our out-patient pharmacy within the same organization was compounding to 6 mg/mL as requested by a pediatric neurology clinic that writes most of our prescriptions.

Any help or advice is appreciated.

Good afternoon!

What is your organization's formulary status for liposomal bupivacaine injection? If it is on formulary, how is it restricted?

Managing utilization safely is challenging, given the logistics of utilization in a surgical world and acute-on-chronic rolling shortages of unencapsulated local anesthetic alternatives.

Hello,

I wanted to reach out to see if anyone has increased the use of Midazolam while dealing with the severe lorazepam shortage. We are considering this and being very conservative with dosing. We are also increasing monitoring.