Hello - wondering if any institutions are giving lacosamide IV push at your institution? We have had some interest in this route to minimize delays in high risk/seizing patients. There is some literature that has made its way into tertiary resources, but unclear to me if folks are actually doing this (and any experiences to report). Thanks!

We are considering using LET Topical solution prepared by Quva. Main concern is that it is in an oral syringe that could easily be confused with any other oral syringe and accidentally given orally (esp. in the setting of a pediatric emergency room). See image attached.

We have added a dispensing alert when the nurse removes from the ADC.

Curious to know if other institutions are dispensing LET in an oral syringe and what mitigation strategies have you put in place?

We recently had an event at my hospital in which nutritional insulin for tube feeds was incorrectly given when tube feeds were interrupted resulting in a hypoglycemic event. Currently our workflow relies on a manual process involving the changing of a colored placard on the patient IV pole when tube feeds are held. We would like to make this workflow more resilient possibly utilizing our EMR system, we have EPIC. I would greatly appreciate hearing how other institutions handle this. Thank you!

For unknown/unidentified patients that we don't have a confirmed age, our system is inputting an age >100 years old. We use EPIC and the CrCl is automatically calculated using the documented patient age and is visible for pharmacists on the main screen.

1. How do you handle dosing adjustments for patients with a documented, but unconfirmed/inaccurate age?
2. Is there anything in your system that would notify you that the age documented is not the patient's actual age?

Hello all,

I help manage 23 smaller, critical-access hospitals within our health organization. One of the struggles we have been having are nurses/providers not knowing they have certain meds available (ie Kcentra, nicardipine, praxbind, etc).

Often the smaller sites will transfer these pts to a higher acuity of care to our larger medical centers and assume they don't have access to some of these critical meds. We have pharmacist on-site (not 24/7) and a remote service who manages after hours.

What are healthcare facilities doing in regards to Ammonia Inhalants? I was under the impression that they would eventually all be phased out due to the CARES act, but there seems to be a resurgence in their availability. Are your facilities still stocking or have you made them non-formulary?

Hello,
I am in the process of expanding Medication safety in my system. What type of structure do other systems/hospitals have? Currently, I report up to Quality with no other pharmacists. My thought/research has shown a structure of either a Manager/Director with other medication safety officers reporting up to the manager.
Thank you,
Jen

Hi there,

Has anyone instituted 30 or 60 days expirations on the flavoring oils used in Anesthesia masks? We are worried about contamination if they are kept to the full manufacturer expiration date.

Thanks!
Shannon

Does anyone have a list of non-controlled medications that are susceptible to diversion among healthcare workers? Our compliance officer is interested in using non-controlled meds like triggers to help identify employees that may be diverting or otherwise masking controlled substance issues.