I am looking for help on recommendations or guidelines regarding the utilization of "visual cues" to distinguish medications. I am working with a procedural area that is utilizing a specific type of syringe to differentiate a medication from other medications. The area is using a "control" syringe which is an IV syringe with plastic loops on it for a users fingers but it is being used to distinguish it from other IVs rather than for the need for the plastic loops.

Hello,

We are looking into RX crusher using the pill pouch with ENFit syringes. Does anyone have an experience with this product? If so, did you have any issues or challenges implementing it?

Thank you!

Good Morning All,
With the new changes in manufacturers' labeling of vitamin D products, we are trying to find a best solution with naming conventions in CPOE and on the final product label, marrying old way of thinking and ordering (in International Units) and new one (in microGRAMs).
How did your institution handle the transition?
Thanks.

Hello,

I am curious if anyone has had any experience in using the FDB Infusion Knowledge during the building or maintenance of drug libraries. I believe it's integrated with some Baxter pumps and also B Braun.

If so would love to hear the pros and cons that you or your facility may have encountered.

Thank you!

Ivy

A colleague told me that all hospital pharmacy cleanrooms are 503A compounding facilities, by default. It is my understanding that we are NOT considered a 503A compounding facility if we are only making products for patients that are admitted to our facility. If we were to sell our products to another facility in town (pursuant to a prescriber’s prescription), then we would be considered a 503A. How do others interpret this?

We use Endotool for our insulin drips. Nursing staff are asking for tighter guardrails for insulin drip in our alaris pumps. Would anyone be willing to share your parameters for hard or soft stops on insulin drips? Many thanks!
Kim Gaillard

Hello,

Wondering how other institutions handle Propofol? We currently label it as "controlled" and keep a perpetual inventory except for product stocked in anesthesia traveler trays (for use outside of the OR). What are your experiences if you have moved the product to a controlled level? Have you removed the product from traveler trays and only keep in ADCs?

Thank you!

Hi all -

Does anyone have an audit checklist for administration Independent Double Checks that they'd be willing to share? I'm thinking of direct observations but will take anything you may have.

Thank you!
Elizabeth

We have removed droperidol from the hospital formulary some time ago due to concerns over QT prolongation and Torsades. However, there is increasing pressure from Anesthesia to use droperidol post-operatively for N/V as the risk of TdP is low (<0.1%) and there is EKG monitoring in the OR so the team can avoid giving the medication to those with prolonged QT.

I would appreciate your responses to these questions.

1) Do you have droperidol on formulary?
2) What restrictions do you have in place for ordering, if anY?

Thank you.

Hello,

Wondering what other institutions allow for documentation of pediatric medications given in a code? My institution uses Epic and code team staff is asking to allow documentation in the Code Narrator to be entered as mL as this is what is used for the dose given when using Broselow tape. Our institution policy indicates pediatric medications must be weight-based dosing but does not specify any outliers for code scenarios.

Thank you for your input!