Hi all,

Quick query-

Any institutions out there that allow nicardipine infusions on acute care floors?

I am thinking something like: tele monitored, provider to titrate on acute care floors.

Thank you,

John Dempsey, PharmD, MHA
Medication Safety Pharmacist
Harborview Medical Center
Seattle, WA
Box 359885
Phone 206-744-6043

Happy New year! I have a quick question regarding Moderna COVID Vaccine.

ASHP just shared that "FDA Approved the Use of Every Obtainable Dose from Moderna’s COVID-19 Vaccine Vials. In some cases, providers may be able to obtain an 11th dose from a Moderna vaccine vial, and this may be used if it is truly a full dose. Whether an 11th dose is obtainable depends, in part, on the type of syringes and needles used to withdraw doses from the vials."

Can anyone please share with me if they have success obtaining 11 doses from Moderna vaccine?

Anyone possess a current facility or system interdisciplinary Smart Infusion Pump Policy to share that supports and expresses details/processes surrounding key principles within the recent ISMP "Guidelines for Optimizing Safet Implementations and User of Smart Infusion Pumps'?

Prolonged QTc:
Does your facility implement any forcing functions/constraints or automation/computerization to alert providers to obtain ECG prior to using or while using medications that may prolong QTc? If so, how did you prioritize which medications to implement that on (given the long list)?
Thank you ahead of time.

Hi Everyone,

We were wondering if anyone has either an official reference or a home grown list of medications that should not be prepackaged due to stability concerns (like exposure to humidity/moisture, etc.)?

Any guidance would be much appreciated!

Alex

Happy New Year Everyone!

Hello,

For Alaris Pump users, have you figured out a way to program the NICU libraries for Pen G doses higher than 99,999units? It's currently out of scope for us. We are manually programming with a witness.

Thank you in advance for any suggestions!

Hi everyone, I am a PGY-1 Pharmacy Resident

I wanted to ask everyone about implementation of a low hemoglobin alert policy:

1) What computer alert policies or protocols do other institution have in place to prevent bleeding due to low hemoglobin levels when patients are initiated on anticoagulants.

2)If so what is considered a low level for the alert to providers and other clinicians

Thank you.

Hello,

In relation to the recent FDA labeling change for Vincristine and the ISMP coverage in the 12/17/20 Acute Care Med Safety alert, we are inquiring how this is being addressed in Pediatric settings. We have both adult and peds hospitals.

We currently limit who prepares and dilute to 10mLs for adults and label accordingly in the syringe. We are working to make the change to "flexible plastic container" for adults but uncertain of how to proceed with peds.

Any thoughts? Or anyone willing to share how they made the transition in pediatrics?

For those of you who have a potassium replacement protocol:

1. Is it limited to certain units?
2. What is the goal min. K level for replacement?
3. Is there a max Secr allowable for ordering protocol? IF so what is the max Secr?
4. Who manages the replacement doses? (provider, nurse, pharmacist)

Thank you!