We have having a significant spike in infusion reactions related to multiple forms of IV iron (iron dextran, iron sucrose and ferumoxytol). We are reaching out to see if anyone else is having the same issues. If so, have you had any luck with interventions? If you are not seeing any increase in reactions, what products are you using, how is is prepared and what are your infusion parameters? Thank you!

Can you please share how your facility deals with expensive nonformulary home medications?

I am curious if there are any part-time medication safety officers/pharmacists out there. We are a 600 bed community hospital and I have worked in this position for quite some time and the challenge for the past few years is that the work of a MSOS is difficult to complete on a part-time status and safety initiatives/projects are difficult to initiate/complete in a timely manner or that you simply do not have the time to partake in every project/committee that you would like to.

I am curious if there are any part-time medication safety officers/pharmacists out there. We are a 600 bed community hospital and I have worked in this position for quite some time and the challenge for the past few years is that the work of a MSOS is difficult to complete on a part-time status and safety initiatives/projects are difficult to initiate/complete in a timely manner or that you simply do not have the time to partake in every project/committee that you would like to.

Hello everybody

We are planning to centralize the infusion preparation in our hospital pharmacy.
Do you have experiences with it?
What can be easily prepare centralized?
What needs to be done at the ward (e.g. due to stability)?

I am looking forward hearing from you!
Regards
Kristina

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Dr. Kristina von Känel
University Hospital Zurich
Switzerland

Have any other institutions experienced a "syringe near empty" alarm as soon as start is pressed on the pump despite the syringe being full? If so, do you have any insight as to potential causes of this? We use BD Alaris syringe pumps.

Good morning friends and collogues,

SMOF lipid has shellfish component as part of their inactive ingredients. This will not fire if you do not adjust First Data Bank settings (or similar software) to fire for both active and inactive ingredients.

Any insight on how you have this programmed in your hospital?

Thanks in advance!

Sincerely,
Mohamed Sarg

In my institute the hyper-tonic Saline infusion is restricted to critical care areas only including emergency dept. and it is dispensed against patient order from pharmacy. the policy does not allow its administration in general wards. however, we are receiving request especially from pediatric faculty to allow its use in general care areas in case of emergency or during tapering. Please share what is the practice in your institution and in which areas you allow its administration. We don't have ADC in our facility.
thank you
Saharish

I would be interested in receiving some feedback from other facilities regarding epidural for labor, specifically the default settings for Fentanyl 2 mcg / Bupivacaine 0.125% epidural.
1.Basal rate range: _________
2.Bolus dose range: _________
3.Lock out range: ___________
Thank you.

Hi All
We have several mass vaccination sites up and running and we are starting to see quite a few PSI's related to the 1st dose of vaccine. There have been quite a few errors reported of immediate, non-anaphylactic reactions such as itchy throat, flushing, hives etc requiring 25-50 mg of diphenhydramine.