Hello down there,

We just learned that Vyaire discontinued the distribution to Canada of the 1L sterile water rigid plastic bottle we were using with our Optiflow nasal high flow therapy as a risk mitigation for 1 L bags. This was our only source of this format from Canada. Wondering if anyone has alternative source in your country we could inquire with the manufacturer for distribution here?

Two litre bags are not ideal for the respiratory therapist because of the added weight and possibly increasing waste, but remain an option.

Thanks!

Hi all.

I am working on revamping our High Alert medication policy and came up with a few questions...

1. Is digoxin included in your high alert med list? Do you require a nursing assessments prior to administering such as heart rate? dig level?

2. Do you require an administration co-signature (an independent 2nd check) for insuliln? Do you standardize how these independent 2nd checks are supposed to happen?

Good afternoon,

I was wondering if any institutions are drawing up commercially available IV fluids for neonates in 50 mL syringes? Our NICU requested that pharmacy makes 50 mL syringes for 6 commercially available IV solutions (examples: D5W-0.225% NaCl, D10W) for our neonates who weigh

How detailed are safety event review policies at your organization? Do policies list every step in RCA/ACA process? Anyone willing to share policy/workflows?

Do you store boxes of alcohol swabs in a flammable cabinet?

We store bulk bottles in the flammable cabinet, but I never thought about the swabs until the question was posed to me recently.

If you do, was a recommendation from CMS/DNV/TJC or a state board inspector or based on other data. If you intentionally do not, I'd be interested to know about the documentation or discussions that led to that.

Just trying to do what is safest in our pharmacy.

Thanks!

Does anyone have standard operating procedures for PAH therapies (focus on nursing staff) and willing to share?

Thank you!

Just wondering how many of you require a co-sign for nursing for monoclonal antibodies/biological drugs ?
If you do or do not why is this?
Thanks,
Nancy

Does your site use EPIC (eg iVent, smartphrase, notewriter) for ADR reporting monitoring and analysis?

Our Quantifi contract will end on August 30th and we are looking into a new platform.
Our Datix application is currently not build for pharmacy.

Thank you for your time.

In our organization we are struggling with Medication reconciliation compliance in outpatient. We have manual system for recording current/ past medications by the physician in patient medical record and also have manual prescriptions. As a result this Med Rec information is not available to pharmacist at outpatient pharmacy. I would want to know from the organization who have handled similar challenge. In Joint commission Intl. 07th edition its given much focus.

What tactics are you using at your site to ensure that the full dose of intermittent IVPBs (i.e antibiotics, chemotherapy, etc) is being receive by patients when using medication pumps? At my site, 23ml of medication is left in the tubing once the dose has stopped running – if run as a primary infusion. We haven’t found a perfect solution in getting the remaining amount to the patient and would like to know what others have found to be successful solutions at their sites. Please also include the pump manufacturer that you use if you reply.