It seems that most medication safety pharmacists/staff report to the Pharmacy department. I wanted to know what is the reporting structure of the medication safety program? (e.g. is there a reporting structure for the program to a department in the organization vs the Pharmacy & Therapeutics Committee? Thanks and happy holidays.

We are no longer able (for some time) to receive unit dose prasugrel to stock in our ADM's. Prasugrel has the verbiage "Keep and dispense only in original container". How are other facilities complying with this? Are you dispensing whole bottles to patients? Are the charges dropping for a whole bottle?

I love to hear of any strategies your facility employs to meet benchmark on T8 Glucose <50 of the IHI Global Trigger Tool.

Recently, several questions have come up during discussions with Pharmacy staff regarding appropriate workflow to maintain sterility. I was hoping someone knows the answers to the below questions:

Is anyone allowing use of Kcentra when INR is 1.4-1.99 and patient needs emergent surgery? If so, what dosing are you using?

Thank you

Hi, our institution is discussing utilizing concentrated insulin 4,000units/250mL (16units/mL) for Toxicology (CCB/BB Overdose). We batch all of our regular insulin bags (100units/100mL). For institutions that have implemented the concentrated insulin, what safety precautions have you put into place to ensure pharmacy preparation & dispesning workflows are optimized to prevent confusion between the two concentrations? Switching to premade insulin infusions is not an option currently.

Thanks!
Jaime

Do you use a ramp up ramp down for neonate PN? If so, do you have any sources that I could refer to?
I have found 1 reference that is 12 yo which recommends 50% rate for the first hour and to wean off at50% for the last hour.
Thank you for your help.
Doug Shafer

I would like to alert everyone that Xellia Pharmaceuticals' premixed vanomycmycin bags (VANCO READY) have a warning to not use in 1st and 2nd trimesters of pregnancy. This is due to the excepients PEG400 and NADA used in these bags. There is a warning statement on the bag, but it may get missed. Can you share your experience with this product?

How are other institutions handling baricitinib dose preparation with regards to NG, or G tube administration?

A. Pharmacy staff prepares all oral liquid doses and assigns 4 hr BUD

B. Nurses disperse doses in liquid with PPE in place

c. Nurses crush tablets with no precautions in place.

D. Other options?

Hello,
We are in the process of converting to NR fit tubing for epidural infusions and would welcome any feedback from any institutions who have made this conversion. Any input on lessons learned, what went well, what didn't go well would be appreciated.
Thank you!