Hello,
We are looking at various models for pharmacist involvement in the medication reconciliation process at admission and discharge. If you have a program in place, can you please share your process and any outcomes of this work?
Thank you!

Hello,

I apologize in advance for the barrage of questions.....

Operational Question:
For medications labeled as needing to be stored in the original container due to moisture concerns, how are these dispensed in the inpatient setting? Example: etravirine.

My organization is transitioning to EnFit, and I would appreciate any information on the following:
1. Did you transition ALL of your oral and enteral medication doses to syringes w/a the unique enteral connector?
2. For meds dispensed in syringes w/the enteral connector, are you using clear enteral syringes w/the purple plunger, or enteral amber syringes?
3. Did your organization research which oral liquids require protection from light to inform #2, and if so, can you share your resource for that?

I wanted to let members know about two ISMP pharmacists who have retired or will be retiring soon, Darryl Rich and Matt Fricker.

Does anyone have a second victim support group/program at your institution. Do you have a policy outlining how this program functions? If so, are you willing to share.
Our program has been active for 3 years now. We are trying to write our policy.

Thanks, Vic

Does anyone require pharmacist double checking of high alert medicated infusions, such as vasopressor infusions? How do staff know which meds require double signature - are the labels different from other meds? How is it handled if a second pharmacist is not available to check? If anyone has a policy or any guidance on how to operationalize this I would appreciate it.

Wondering if anyone is willing to share their Impella protocol, specifically for those on Heparin for another reason (i.e. A.Fib/ DVT/ ACS etc)and the monitoring changes because of it. Thanks.

Are you using an albuterol inhaler for multiple patients with a patient specific aero chamber that has a 1-way valve to avoid contamination of the inhaler? If yes, how do you clean the inhaler between patient use?
Thank you,

During my presentation last Thursday for the member briefing I mentioned an issue with look-alike succinylcholine and phenylephrine syringes from Nephron, which has a 503b outsourcing operation. There had been an incident reported to ISMP where anesthesia personnel gave a hypotensive patient succinylcholine instead of the phenylephrine. The syringes can be seen in the member briefing slides posted on this website. We are happy to note that Nephron has revised the labels and these are attached. Mike