Hello Colleagues,

We just got cited for something so hoping I can get some benchmark data from all of you.

Does anyone have in policy, the time allowed for documentation on the MAR and waste in the ADM of a controlled substance once removed from the automated dispensing cabinet.

I've heard some folks allow nursing up to an hour to get their documentation and waste completed once they remove a CS from the automated dispensing machine.

Hi,
Per our med administration policy, medications are prepared one patient at a time. I see that this has been discussed in this forum in the past, but has anyone developed a med pass workflow to facilitate nursing units with a 1:6 ratio?

We use Pyxis and it creates a bottleneck on our 1:6 inpatient psych unit that follows unit-specific standard administration times.

Thanks and appreciate any thoughts/feedback.

Hi all,
Does anyone use a specific metric for ADC stockouts, and if so, what was the source of the benchmark? Thanks for any info.

Hello all,

I was going through postings to help us with an issue but couldn't find anything fairly recent. We are looking to update our current (and outdated) workflow to handle overflow medications that do not fit in ADC. These medications are the ones rarely used. We are unable to put every single thing in our ADCs and for those items like that, that are controlled substances, we have an alternative workflow for nurses.

Hello!

Question for the group:

Does your Pharmacy department stock any and all medications for your organization? (including IV fluids)

Does Supply Chain provide or stock any medications across your organization? And if yes... which medications or fluids do they have oversight of?

Thanks!
Emily

We use EPIC. Our IV fluids are floorstock on the unit (outside of the ADC). Since barcode scanning will alert the RN if the wrong fluid type is scanned but NOT if the wrong volume has been selected, we would like to establish system criteria/algorithm for determining if a medication can safely be stocked in the ADC for bedside assembly. If any of you have already have done this, would you be able to share your algorithm or criteria? Thank you in advance for your help.

Laura

My Hospital system recently implemented AUC:MIC dosing and monitoring for vancomycin. We are running into issues around RNs running vanco infusions over longer durations due to concerns for extravasation in certain patients. RNs are not always communicating the patients that are receiving longer than prescribed infusions and the peak blood draws are coming back elevated in some cases as a result. I was wondering if anyone else has been running into this issue and what strategies you have used to increase compliance/accuracy of trough and peak vanco levels after transitioning to AUC:MIC?

We had two incidences of IV acyclovir 7 mg/ml precipitation in IV tubing. We investigated temp, concentration, and the possibility of a TPN/acyclovir Y site issue with no results. Any thoughts?

How are other institutions handling medications that state "must be dispensed in original container" for inpatient use, when unit-dose packaged product is not available (i.e Triumeq)?

Best regards,
Ashley

Ashley Lipscomb, PharmD, CPh
Director of Pharmacy
Pharmacy Services
Jackson South Medical Center
ashley.lipscomb@jhsmiami.org

I have been tasked with setting up a medication safety team for the hospital.
As deputy-MSO, I have been given the go ahead to hire a few staff members to begin quality improvement projects following Six Sigma methods.
The first hire is a Medication Safety and Quality Pharmacist
I would like some feedback about good interview questions you would ask.
A combination of questions to gave attitude and practical capability for the position.
Maybe examples of questions you were asked when you were hired as MSO.
Thanks in Advance