Hello All,
Does any one have a medication administration policy detailing their process for pre-operative medications? In my institution, the pre-op nurses pull medications from the ADC for the providers in the OR to administer but they are under the mindset that the same person that removes the medication should be administering it. Any help would be greatly appreciated.

Hoping to learn what others are doing to provide respiratory therapy access to refrigerated nebules (dornase, tobi). Presently, respiratory therapy has access to the Omnicell refrigerator to access these medications on units where stocked, but we were cited by ASHP on recent accreditation survey and asked to review our process.

Also, do you have a specific policy that addresses respiratory therapy access to medications? We have a general policy and a list of medications approved for respiratory access but no specific policy.

Thanks for any info you can share!

Don

When a Mom is discharged and then stays with the baby until they are discharged from the hospital, do you perform any assignments on the Mom since they can be more drowsy (risk of mom falling asleep w infant in her arms) ie POSS score?

Would anyone be willing to share your perioperative policy/order set/patient instructions for patients undergoing elective or outpatient surgery/procedures and taking SGLT2i regarding instructions to hold these medications?

Thanks,
Becky

Becky Goldstein, PharmD, BCPS
Medication Safety Officer
Becky.Goldstein@prismahealth.org
Prisma Health

Hello,
Would anyone be willing to share their organizations stance on use of patient own medications in the ambulatory setting? We have a brown bagging policy stating that our staff may not administer medications that have been in a patient's possession and brought into the outpatient department. Providers would like to get around this by stating that these medications are not being administered by our staff, but by the patient.

Hello,
I am seeking information to see if any organizations are utilizing “bar code scanning” technology in the MRI depts when administering contrast and/or other medications. Looking forward to any and all responses.

Thank you
Marilyn Hargett

We have a segregated compounding area and have orders for a 5-FU 46 hour administration. Does anyone have any experience with allowing extended administration times with this type of compounding room?

Thanks in advance!

Hello all!

Need some help / guidance...

Wondering what other organizations are doing with regards to ophthalmic drops in the OR related to using ophthalmic drops. We have a big push from our Ophthalmology provider group to reduce waste and to move away from Single Use of eye drop bottles and move toward multi-use (with processes in place) in the OR and our clinic spaces where eye drop bottles are managed by clinical staff.

Hi all,

We've just needed to get concentrated potassium chloride in the new EXCEL bag presentation rather than the glass vials. We got the NAN alert a couple months ago, but the supply change took us a bit by surprise.

Has anyone taken any extra steps to ensure the bags aren't inadvertently distributed outside of pharmacy, given that they look like every other BBraun product?

Thank you,
Kara Thornton

UVA Health - kara@virginia.edu

Does your facility consider REMS medications to be high-alert? It would seem to me that they meet the definition of "medications are most likely to cause significant harm to the patient, even when used as intended."