I would be appreciative if someone could share their institutions policy/procedure or any advice regarding the storage of light-sensitive medications in automatic dispensing cabinets. We are particularly interested in areas with see-through doors where there is no light protection (example a Pyxis Tower)

Hi there ~
Question for the group regarding High Alert Medications.

Does your organization currently have any sort of "identifier" or visual cue, etc. built into the EHR to alert end users to the fact that a medication is considered 'high-alert'? if so, would you mind providing information on how you have this set up / what it looks like.

I am reaching out to see how other institutions are approaching inpatient administration of COVID-19 vaccines.
• Based on the current CDC recommendations, COVID-19 vaccines should be administered alone, with a minimum 14 day window before or after administration of all other vaccines. Have you considered leveraging your EHR to alert prescribers when a patient has received a COVID-19 vaccine in the past 14 days?

Is anyone using a standardized layout, set-up, mat, or similar in surgical areas for preparation/staging medication/vials/syringes for procedures? Are you using other strategies to make sure medications are correctly drawn up and labeled for procedural use? If you have pics or policies you would be willing to share, that would be great.

Can you describe the process in your hospital when pharmacy does not verify a medication (order is wrong, there is a question, etc.)---who gets contacted and how? Is there a process if that person does not call back or can't be reached?

We are trying to figure out how to close the loop on ensuring follow up is always done on all medications that are not verified.

Is there anyone who has implemented quiet zones or quiet medication rooms?
We are looking to push this practice house wide and we would like to determine some smart goals to determine if ultimately we see less errors linked specifically to these distractions. Does anyone have tips they can share or goals/metrics that worked at your organization?

Thanks
Kelly Salzar

Hello,

Does anyone pre-spike all HDs in BSC/CACI prior to dispensing? We currently prime and spike all chemotherapy in the BSC/CACI.

Does anyone use a "dry spike"? Does your process change for premixed bags of HD (e.g., fluconazole?)

We are starting the discussion if we should expand the HD medications that we spike for nursing prior to dispensing and I am wondering if anyone has had any success/tips with implementing this practice.

Thank you!

Good afternoon,
In your organization, do you use a single syringe pump device in all care area settings or does anesthesia or transport use a different syringe pump device? And what syringe pumps do you have?
Thanks,
Casey Moore

There is a formulary request to carry two amoxicillin and clavulanate IV formulations and we want to look at what we can do to mitigate errors. There are a 10:1 (2000mg/200mg) and 5:1 (500mg/100mg and 1000mg/200mg) formulations available. Wondering if this is done anywhere else or if anyone has dealt with this? If so, what steps are taken to reduce errors/mix-ups between products.

Is anyone putting a BUD on inhalers? If so, how do you operationalize this process? Practically speaking, an inhaler used in a hospital setting is going to be finished long before the BUD, however, a recent JC consultant asked a nurse at our facility what the BUD was on the inhaler. The consultant said when inhalers are removed from the packaging and foil wrap, they need to have BUD expiration sticker. The inhalers have different BUD, for example albuterol is 12 months and Symbicort is 3 months. Any help is appreciated.