Hello everyone,

Hoping all is well. I wanted to see if any of your institutions treat Propofol as a controlled substance. If so, do you do it house wide or in certain areas of the facility. Is it kept in your narcotic vault or stored on your carousel or other non-vault area?

Thanks so much!

Jameika Stuckey, PharmD
University of MS Medical Center

Hello all,

I wanted to reach out to ask what you guys are doing to store your Myxredlin. Are you storing in fridges on various floors throughout your ICUs/EDs? And if so, are your fridges able to accomodate the "original packaging?"

Members: Please don't forget to sign up now for the MSOS Member Briefing webinar, scheduled to be held tomorrow, Thursday, July 22, 2021 from 1:00-2:00 PM ET.

Register Now: https://ecri.zoom.us/webinar/register/WN_s6FpmZc2Ss6AoIIObhqrcA

Short medication safety-related presentations for this webinar will include:

• Use of kits for immediate use infusions

Joel Daniel PharmD, MS, CPPS, Medication Safety Pharmacist, Cox Health

• Specialty Pharmacy Medication Safety Challenges

Hello Everyone,
Has anyone placed a max single dose for acetaminophen in the pediatric population? If so, what is your set max single dose? We have encountered younger pediatric patients getting adult doses based upon the 15mg/kg weight-based dosing. Trying to assess what others are doing in these cases.
Thanks!
Cicely Williams, PharmD.

Does your organization require RN dual check verification for administration of IRB infusions?
If so, do you require for all, or just a subset?
If for a subset, what are your criteria?

Thank you!
Stacie Ethington MSN, RN-BC
Nebraska Medicine

Does your org affix paralytic warning auxiliary labels to NMB vials that contain the warning on the manufacturer cap?

My institution currently classifies IV fluids as a supply. Supplies are currently managed by our Central Supply department.

I'm curious to know, do any other institutions classify fluids as a supply rather than a med? Do you have a separate department that handles the procurement of supplies? Do you have a policy or procedure that aides in determining what products will be considered a supply vs a med? Appreciate any feedback on this! Thank you.

What BUD does your facility follow for procedural areas when propofol is drawn into a syringe from a vial?
1. Immediate use rules: spike and use within 1 hour, complete within 6 hours?
2. Package insert (syringe administration should commence promptly and be completed within 12 hours after the vial has been opened).

Thank you,

Kelly

We have ongoing issues with hypoglycemia that arises after a patient receives regular/basal insulin to cover tube feeds and then the tube feed regimen is discontinued or NG tube is clogged/pulled. Nursing staff is finding it hard to remember to monitor POC glucose more closely when dextrose source is removed.

We have tried to address through RN staff education and have defaulted guidance into the insulin orders, but the issue persists.

Hi All
We have found that we are not meeting the CMS guidelines on getting antibiotics into our pediatric trauma patients within 1 hour for open fractures. Our pediatric antibiotics come from our central pharmacy as patient specific doses in pediatric dilutions unless the peds patient is large enough to get a standard adult dose.