hello,

I need updated list of medication do not tube, and if any one have information about transferring sterile preparation via pneumatic tube.

thank you,

Hello,
Looking to review/revise our DKA policy. Would anyone be willing to share your protocols/policies?

Thank you,
Renu Bajwa, Pharm.D.
Medication Safety Coordinator
Community Memorial Health System
Ventura, CA 93003

We have been asked to evaluate the possibility of preparing autologous serum eyedrops (SED). There are numerous issues ranging from regulatory (in NY SED use is considered a blood derivative "re-infusion"), preparation standards - eg USP <797>, to infection control considerations.
If you do prepare SED in your pharmacy would you be willing to share your procedures?

If you allow use of SED in inpatients (either patient "own" or institutionally prepared), how do you handle specifics of dispensing, storage and infectious disease exposure risk to staff and environment?

Happy New Year everyone! Curious if anyone has made changes in the EHR across the board (all drugs or a specific subset of drugs) to reduce the likelihood the nurse accidentally interprets the product concentration as the dose to administer. Would love to understand what changes people have made.

Our facility has decided that Pharmacy will be responsible for crushing hazardous oral meds, when crushing is required (to avoid having to have all RNs fit tested for N-95 masks annually). It would be a terrible idea for Pharmacy to simply dispense a baggie full of HD powder for the RN. However, if there is no reference for compounding a liquid, I am not sure what we are supposed to do. I have heard of a facility mixing the crushed tablet with water, and telling the RN to administer ASAP.

Hello,
We are in the Epic design build and looking for ideas around how to document a medication given in error in the EHR. Currently our process involves several steps: entering a one-time order for the wrong medication using "Medication error" in the provider field, which allows for MAR documentation, and then the order is immediately disconsintued. The provider also documents that the error was made in his notes, as well as an incident report is completed.
There are risks involved in this (forgetting to d/c, several "human" steps etc) but the documentation is complete.

Hello,
How do you store your fluids (especially NaCl) to ensure the availability to the nursing units, balanced with the fact that these are prescription items and have regulations to ensure safe storage? Currently these are in our ADC's in most areas, but this accounts for the majority of our overrides so looking for ideas.
Appreciate any advice on this, Diane

Scenario: I have 1 vial of paclitaxel MYLAN brand (30 mg), and 1 vial of HOSPIRA brand (30 mg). Dose for my patient is 60 mg.

Does your institution allow combining product from different manufacturers for a patient specific dose?

Is there national regulation or standards on this?

Thank you very much!

Fuwang

Hello,

Hello MSOS members,