Hello- When patients receive medications via Patient Assistance Programs, they reach our infusion center by being shipped/signed for by the hospital's receiving dock staff where they are parsed and then delivered to the pharmacy. We have recently had a couple instances where the (expensive) medications have gone MIA after being signed for at the dock. Wondering if anyone has a more fool-proof method for keeping chain of custody from receiving dock to pharmacy they can share. Hoping for something beyond just following the package tracking information. Thanks.

We are currently reviewing our system coordinator position for Controlled Substance and Diversion Prevention and I was hoping to get some input on what other organizations have done for this type of position.
1. Do you hire pharmacists, nurses, pharmacy technicians, etc..?
2. Would you please share job descriptions?

Thank you in advance for sharing!

Our Regulatory folks just returned from a conference and a presentation by Robert Campbell. The take home message was that the JC will be be changing their attitute towards titration range orders and will be looking instead to the compliance to the institution's own policy. I have attached the policy verbiage from the presentation, has anyone else tackled this one recently? I'd love to hear of any successes with the JC and titration range orders.

Hello,

If you have a network/VP/other Medication Safety Officer role, would you mind sharing the Job Description? If you have insight into the role that is not included in the JD, I would be interested in hearing that as well. Thank you! ---Jeff

ISMP has removed the Do Not Crush list of medications from their website. We have a link to this list in our EMR for nurses/pharmacists to check if the medication can be crushed.

Trying to figure out how to handle this moving forward.

Does your facility have and maintain a do not crush list of medications? If so, how does this procedure work? Only for formulary medications? All medications?

Thank you in advance for all of your help!

Hello,

Sites that have a Detox program as part of their behavioral units, are you guys monitoring the MME's that is being prescribed while the patients are on inpatient or st site?

Are you excluding this data when being used for Detox or maintenance?

Thank You
Sanchita Damania
Director of Medication Safety

Hello,

Sites that have a Detox program as part of their behavioral units, are you guys monitoring the MME's that is being prescribed while the patients are on inpatient or st site?

Are you excluding this data when being used for Detox or maintenance?

Thank You
Sanchita Damania
Director of Medication Safety

UIC Illinois - ADVANCE is offering virtual academic detailing to prescribers, nurses, pharmacists for safe opioid prescribing as part of an FDA-REMS grant. Each virtual visit is 15-20 minutes and provides 0.5 contact hours of CME/CPE/CNE. See attached flyer or visit https://academicdetail.pharmacy.uic.edu/

Hello!

Do you document medication errors in the EHR?

If so - who does this documentation?

If you have a policy or job aid - would love to see it.

Thank you!

Christa

Our institution currently makes a morphine PF 0.5 mg/ml from the parenteral product. However, I am used to using the 0.4 mg/ml concentration and would like to change to this (as well as being aligned with ASHP).

I realize there is an oral recipe diluting the commercially available Morphine 2 mg/ml oral solution. However, this product has sodium benzoate and sorbitol which is not recommended for use in pediatric and neonatal patients (if possible). Hence, why I am looking for a recipe for using the parenteral product.