HI All

I am just wondering about your policy/procedure for neonatal RSI meds, specifically midazolam and fentanyl, if you allow IV push undiluted or if you are diluting and administering via syringe pump. It seems as though IV push should be utilized given the emergent nature of the situation, but our neonatal nurses are thinking they are supposed to use the syringe pump.

Thanks, Katie

HI All

I am just wondering about your policy/procedure for neonatal RSI meds, specifically midazolam and fentanyl, if you allow IV push undiluted or if you are diluting and administering via syringe pump. It seems as though IV push should be utilized given the emergent nature of the situation, but our neonatal nurses are thinking they are supposed to use the syringe pump.

Thanks, Katie

Are you using actual body weight or adjusted body weight for calculating heparin infusion doses? Does it depend on indication? Thanks!

We have started to get many reports from nursing and anesthesia around issues involving coring of medication vials. So far there isn't a trend with a specific medication, but most reports have involved Pfizer products. Nursing has been using BD blunt tip needles for many years without issue. Reports of coring began about 2-3 weeks ago. Has anyone else experienced recent issues with this? Thanks!

I'm just wondering what other hospitals do for the preparation of allergenic extracts. I would assume the majority of hospitals leave it up to their allergy clinic. If there are any of you that use space in the pharmacy or cleanroom to prepare them, how do you handle them? We currently prepare them in our cleanroom for the allergy clinic but are considering finding alternative space to do. Thank you!

Good morning!
Our pediatric cardiologists are wanting to implement IV prostacyclin therapy and I wanted to see if anyone has a protocol they are willing to share for IV treprostinil or epoprostenol? Bonus points for peds hospitals and double bonus points if you have implemented this using BBraun infusion pumps. Any guidance or lessons learned in the implementation process would be much appreciated! Thank you!
Jordan Anderson, Driscoll Children's Hospital

We have recently encountered a situation where patients are able to purchase keys compatible with the Alaris pumps through eBay or Amazon and bring them into the inpatient setting. While we can work on a process to control purchasing these keys as the replacements for the institution, what measures have you implemented to prevent a patient from using a self-procured key inappropriately?

Apparently Lomotil liquid oral susp is being discontinued. Are facilities crushing the tablets in a CVE or using an alternative product?

https://www.ashp.org/drug-shortages/current-shortages/drug-shortage-deta...

Hi, has anyone encountered issues with nursing units reporting under or over fills for infusion bags that are made to total volume? Specifically for onc infusion bags and/or peds?

Does anyone stock 10unit/10mL or 5unit/5mL insulin syringes in their ADC for nurse to remove and administer for IV push administration? We are a non-24hr pharmacy, so need something safe to provide for after hours. I would love to pre-prepare doses like this instead of having them pull out of a large vial. Any stability information would be very much appreciated. Thank you!!