Good morning,
What is your process for managing patient's own controlled substances that come in a liquid formulation? Primary concerns are admin of accurate doses especially if dosing changes and diversion
1) Does the pharmacy take custody and draw up doses? What quantity of doses are drawn up in a given time?
2) Do you keep in pyxis? If yes, are doses drawn up in syringes and labeled or kept in original container? How do you keep track of count since liquid?
Tactics to avoid diversion?

Appreciate any feedback you may have. Thank you!

Nurses requesting access to concentrated heparin (1000 unit/ml) prior to patient arrival in order to prime dialysis circuit and eliminate significant lead time required.

What is your hospital's process around this topic? Allow ADC override for concentrated heparin in dialysis unit? Other safety processes in place?

Appreciate any feedback!

Does anyone have hospital, pharmacy or IRB policies or SOPs related to single-patient expanded access programs (formerly compassionate use)? We are wanting to outline our process to assist physicians who need access to a drug (or device) through one of these programs. Looking for examples to assist with writing a new policy.

Thanks in advance for your assistance!
Anjali

Anjali Todd, PharmD
Pharmacist Specialist, Medication Safety
The University of Tennessee Medical Center
Knoxville, TN

Hello,

We have had some challenges with not activating Clinimix prior to dispensing. Have any of you had similar challenge and put in a practice to prevent? Thanks! ---Jeff

Hello everyone! I was hoping to get some feedback regarding your ICU med reconciliation processes.

Currently our ER pharmacists do med rec from 0600-0030, so we have about a 5.5 hour gap in coverage. And of course, sometimes they are pulled away for other clinical activities so not everyone who comes through the ER has their med rec done by a pharmacist.

Good morning everyone -

We are looking at some opportunities for operational efficiency for vancomycin preparation. Curious to see what institutional maximum vancomycin concentration and rate of infusions have been established for others. We are mainly looking at some of the information in tertiary sources & PIs that note 5mg/mL concentrations as recommended but reference for up to 10mg/mL with the disclaimer for the potential for increased rate of infusion reactions.

Thanks

An old topic with no clear answers - but looking to see if anyone has instituted a successful program for screening personnel potentially exposed to hazardous medications in the course of their job (pharmacy, nursing, others?) and what it consists of. Thanks!

Shannon Manzi, PharmD, BCPPS, FPPA
Director, Safety & Quality, Department of Pharmacy
Boston Children’s Hospital

Hi All, I am interested to know if you have been posed with the question of is it safe to use a mini-bag plus to reconstitute and administer the Regeneron monoclonal antibody (particularly in critical access sites). What are your thoughts?

Thanks in advance!
Merissa Andersen, PharmD, MPH, FISMP
Med Safety Officer- Mayo Clinic

Hi All, I am interested to know if you have been posed with the question of is it safe to use a mini-bag plus to reconstitute and administer the Regeneron monoclonal antibody (particularly in critical access sites).

Thanks in advance!
Merissa Andersen, PharmD, MPH, FISMP
Med Safety Officer- Mayo Clinic

Just trying to figure other hospitals practices with insulin pen vs. vials.

•Do you have any insulin pen that you use at your institution
•If yes, what pens do you use?
•If Yes, where do you store them? In Pharmacy or ADC?
•How do you label it?
•What Bar Code is used to administer mediations? Patient specific bar code or
NDC from the Pen.
*If you use vials, where do you store? Pharmacy or ADC?
*If you use vials, how do you dispense, draw up patient specific doses or nurse draw up doses on the floor?

Thanks for your help