I work for a large healthcare system with both 24-hour and non-24-hour pharmacy locations. Our current order for priapism management is phenylephrine 200 mcg/mL 10 mL syringe prepared by pharmacy. We have lots of issues with this being ordered in sites when pharmacy is not available. Timely administration is important so getting from another site does not seem feasible, 797 BUD regulations prevent us from making and storing this ahead of time, and concentrations lower than 100 mcg/mL are not clinically preferred.

Hi,

We've seen an uptick in sending the incorrect volume of a medication to NICU in the 1ml amber syringe. Any institution using an amber syringe? How do you mitigate the incorrect volume as it can be difficult for some folks to read the volume.

Hi,

We recently had a patient who brought in the ketamine troche that needed to be refrigerated and had to be used during admission. We currently don't have a process how to handle this. One idea came up to store it in a small lock box and put the lock box in the locked fridge on the unit. Does anyone have a process for this?

We have had a number of reports in last month related to Embecta insulin pen safety needles detaching or retracting before administration and coming apart. Upon investigation it seems like the threads on the insulin aspart pen barrels/tips are stripping. The needles can spin endlessly on the pen vs. lock/click in place. The aspart pen threads do not go all the way around the pen like insulin glargine or NPH; instead, there are flat areas which I think allows the pen needle threads to keep spinning and eventually strip.

Hello,
Looking to connect with a colleague on BD's Pyxis MedStation ES Medication Label Module (patient-specific labels print upon item removal). Does anyone have experience with piloting or implementing this technology?

Please reach out, thanks!
Carley

Hello,

Recently on the ASHP Compounding forum some FDA findings for outpatient pharmacies for using household cleaners (like Dawn) to clean their equipment for non sterile preparations. Reaching out to inpatient facilities, what do you use to clean your beakers and graduated cylinders? Do you use regular dish soap or specific approved cleaning solutions? What is the rationale behind your approach?

Thank you,

Curious if any organization has troubleshooted the process for controlled substance infusion integrity when in MRI?
Our policy is to ensure all CS infusions are maintained inside lock boxes with key access held in our Pyxis/ADC machines. These lock boxes are not MR conditional and have created a barrier/delay when attempting scanning patients with CS infusions.

Do your organizations utilize MR conditional lock boxes or something similar? If yes, would you mind sharing the product?

general curiousity, what has your hospital or health system done to make the facility more baby friendly? (health fairs, educational flyers on med safety for moms and breastfeeding?, etc)

For facilities using Irraflow, can you share your order set or medication EHR builds? Do you require a witness on administration documented on the MAR? Thanks in advance! -Melody Sun, CHOC Children's

Hello everyone. I am interested to know if I am missing a regulation related specifically to multi dose topical containers used on multiple patients. I am very familiar with the regulations/CDC guidance on multi dose vials, but I am struggling to find anything concrete regarding creams, ointments, etc. The specific scenario I am dealing with is Biofreeze in Physical Therapy (both inpatient and outpatient). I am confident that best practice is to keep the container in a central location, and squeeze some into a small container (labeled of course) for administration to the patient.