Hello Everyone,
How are your institutions handling multidose products such as antibiotic suspensions or bulk liquids dispensed to COVID-19 patients? My pediatric area has raised this concern to see if patient-specific dose syringes would be more appropriate for the bulk bottles of antibiotics or other liquids. I look forward to your feedback.
Thanks so much.

Cicely Williams, PharmD

Hello Everyone,
How are your institutions handling multidose products such as antibiotic suspensions or bulk liquids dispensed to COVID-19 patients? My pediatric area has raised this concern to see if patient-specific dose syringes would be more appropriate for the bulk bottles of antibiotics or other liquids. I look forward to your feedback.
Thanks so much.

Cicely Williams, PharmD

It is recommended by the manufacturer to replace propofol tubing every 12 hours. Due to the COVID-19 related drug shortages, I am wondering if any facility has found information that supports extending this time frame?

Thank you,

Jim Galasso

Hi, trying to find the best solution to minimize exposure to covid-19 and help the nursing as much as possible...what do you do? Do you ask nurses or staffs of the wards come to pharmacy to pick them up or do you deliver to them? The nurses probably would like them delivered but pharmacy staffs may be resistant to go to wards...

Hi,
We are interested to learn how others are managing medication storage in operating rooms used for COVID-19 + or suspected + patients.

Hi all -
I wanted to see what other institutions are doing in regards to administering chemotherapy:
1. Is nursing preference to run as a primary or secondary infusion?
2. Does nursing follow with administration of a flush? How much?
3. Any other insight for nursing practice?
I'd also like to know if your facility takes care of pediatrics.
Thanks-
Maria Cumpston
WVU Medicine
Morgantown, WV

Good morning and happy Friday! I would love to hear how organizations that do not have "med boxes" in the patient rooms are managing bulk items for isolation patients.

Appreciate any insight you can provide!

We are seeing an increase in the number of ventilated patients due to COVID and options for maintaining continuous fentanyl infusions with existing pump supplies could become limited. There is some talk about using fentanyl 50 mcg/mL through the standard LVP pump with a lock box for security. From a safety perspective, this is concerning. The tubing volume, with extension sets, could easily reach 25 mL, representing 1.25 mg of fentanyl. While the LD 50 for fentanyl in humans is not known, it is estimated at 0.03 mg/kg (from monkeys).

Thank you to everyone who contributed to and attended today's MSOS Membership Briefing webinar. For the COVID-19 discussion, we were able to pull the comments and questions from the chat box, and we are discussing how to best share that information with each of you. Please consider using the MSOS Discussion Board to continue these great conversations on COVID-19 challenges and other medication safety-related topics.

Thanks so much for all you are doing!
Mike, Chris, and Bob

Hi there
is anyone here from NY?
We received executive order from Cuomo. What people do on inpatient side? Do they start this drug for inpatients for PUI?
Thank you