Hello!
Does anyone allow anyone outside of the Pharmacy to assign a patient specific bin in their automated dispensing cabinets?
I have searched IMSP ADC Guidelines but don't see anything that specific.
Appreciate your responses!
Anjali

Anjali Arora Todd, PharmD
Pharmacist Specialist, Medication Safety
The University of Tennessee Medical Center

Hello fellow Med Safety officers!

Hoping to get ideas on how to improve the following workflow.

To facilitate the appropriate administration of scheduled medications (e.g. antibiotics) post dialysis & minimize the risk of a missed dose, our pharmacists currently set MAR times to evening/bedtime hours and add a standardized smart phrase to the admin instructions section of the order to administer the dose as scheduled, except after HD on HD days.

Hi,

Our outpatient oncology clinic is considering switching over to elastomeric fluorouracil pumps for all infusion durations (range from 48 hours-7days). We currently only stock pumps for 48 hour infusions. We were curious if any other organizations stock more than one size/flow rate and what safety precautions you have in place to keep them from being mixed up.

Thanks,
Michelle Heidel
Cancer Care Specialists of Illinois

How are others mitigating the insulin glargine shortage? We currently do not use pens at our facility and cannot order any of the biosimilars. Has anyone withdrew the insulin out of the pens in their sterile hoods and then used that to draw up individual doses?

Would everyone please share how they handle illicit substances brought into your hospitals. These are items like meth, marijuana, fentanyl laced street products, cocaine (non-mfg), etc.
1. Are you turning them over to local authorities?
2. Wasting on site and if wasting on site how are they handled?
3. Do you have a vendor that allows this to be completed on site?

Would everyone please share how they handle illicit substances brought into your hospitals. These are items like meth, marijuana, fentanyl laced street products, cocaine (non-mfg), etc.
1. Are you turning them over to local authorities?
2. Wasting on site and if wasting on site how are they handled?
3. Do you have a vendor that allows this to be completed on site?

We are having difficulty obtaining single use Lugol's for use in gynecology clinic. Do you use the larger bottles in ambulatory locations for multiple patients? If so, how do you ensure sterility and expiration dating?

Thanks!

Hello Members,

We are adding Bumetanide drip to our NICU pump library and would like to ask for your help. Would you mind sharing the standard concentration and min/max settings used at your site? Thank you.

Manisa

Good afternoon,

We are a pediatric institution seeking to optimize our current process for flushing intermittent medications when primary IV fluids are not ordered for the patient. We need guidance with the following:

- What is your institution’s current workflow for these situations?
- Does your institution require a specific order in the EMR for flushing?
- If so, would you be willing to share the order sentence build? Dose volume/Intermittent PRN/continuous infusion/order comments?
- What size bag of IV fluids is used?

Hello colleagues,

Looking for idea on how you stock and order Nithiodote in the EMR to allow for BCMA?

We currently stock Nithiodote in Pyxis (two vials in one box). The Epic orderable for the kit components is built as a "followed by" panel, but the vials do not scan for BCMA (only the box).

My leadership team is not fond of splitting the kit, so I am looking for ideas that would allow for BCMA.

Thank you kindly,

Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health