Our organization is looking to improve our blood factor order sets in EPIC (and possibly develop order panel). Wondering if anyone has guidance on ordering such products or feels they have a good build. Starting with Alphanate and expanding as progress allows. Thank you in advance!

Does anyone have a well developed reversal agent monitoring program? If so would you be willing to share what you monitor/criteria for evaluation, etc? Thanks!

Good Afternoon Everyone,

I was reading a list on pediatric oral syringes that can be repackaged which includes Lorazepam Intensol Oral Concentration ( https://www.safecorhealth.com/wp-content/uploads/2018/04/Pediatric-Oral-... ).

Are you aware of any stability data regarding repackaged oral Lorazepam in syringes? If so, what is the BUD in the refrigerator and at room temperature?

Thanks for your help.

Does your require Pharmacy dose all Warfarin and related monitoring for inpatients? If so, are there any exceptions?

Do you require daily INR monitoring for all patients on Warfarin?

Thanks

Hi all,
to add to a recent post about override list requests without hijacking the thread, I am curious to know if for your override lists you list exact concentration and package sizes or if you just list the medication name unless there is a specific concentration that must be specified/clarified.

If you list concentrations and package sizes how do you manage drug shortages?

Has anyone completed ISMP TBP #9 and created/identified a list of antidotes, reversal agents, and rescue agents that can be administered immediately in emergency situations? We have the typical naloxone and flumazenil on override, diphenhydramine/hydrocortisone and famotidine for anaphylaxis and our adult ICU's have neostimine and sugammadex.

Curious if other institutions have created a list to see if we need to make any updates in order to complete this best practice and would appreciate any shared documents/protocols/policies!

Hi,

We are discussing our current setting of requiring BCMA for IV rate changes for some of our high alert medications. We have independent double checks (IDC) for these same high alert medication rate changes (opioids, insuling drip, etc) and intend to keep those. Having a med scan with these IDC during rate changes seems like low value. Do other organizations require BCMA for some high alert medication rate changes? If so what value are you seeing?

Thanks,

Paul
St. Luke’s Health System, Idaho

Does anyone have any information/experience with the administration of a second dose of KCentra? We're being asked to come up with literature to use in risk assessment and there's just not much out there. Thank you!

Good morning all!  We have recently switched from in-house compounded sildenafil suspension to a commercial preparation for batched oral syringe doses.  We have found significant foaming with the commercial product, leading to lower than expected volumes in the final syringe once the product has settled.  In discussions with the manufacturer, we have been told via one source to ensure vigorous shaking and by another to avoid vigorous shaking.   We have trialed preps at room temp and refrigerated, immediately after reconstitution and hours after, vigorous and non vigorous shaking, and still

Hi All,

For anyone using Epic Dispense prep with camera technology (I use Hovercam) I am wondering if you experience issues with failure to load photos during dispense check or other issues with majorly slowing down Epic?

If you have come across any solutions to this or ways to increase the speed I would love to hear more.

Thanks!
Merissa