Hello,

Does anyone have products in their hospital that are available in syringes with colored plunger rods?

Does anyone purchase empty syringes with colored plunger rods for their own compounding? If so, what are you using them for? (e.g., OR medications, crash carts, RSI Kits)

Does anyone think using colored plungers would be helpful in differentiating medications? If so, which medications would it be useful for?

Appreciate your responses to following questions related to profiling of automated dispensing cabinets (ADCs) in the Emergency Department:

1. Are the ADCs in the your Emergency Department profiled or are nurses able to remove any stocked medication for any patient?

2. If yes, what is your order review workflow--are all orders prospectively reviewed by a pharmacist, or do some orders "autoverify"?

Appreciate your responses and any feedback you have on this issue!

Don McKaig, RPh
Medication Safety Specialist
Lifespan, Providence RI

Hello all,

I have a Patient Safety Question.

We are planning to administer a Patient Safety Culture Survey, and need some guidance on how to get started. We participated in a pilot study last year, but we will self administer this year.

If anyone has any information, my email address is: cmontgomery@deltaregional.com

Thanks!

In planning to implement medication reconciliation at Covenant Health facilities in the ambulatory care setting, we are trying gauge what best practice would be for inclusion/exclusion criteria for the full process of medrec in ambulatory clinics and for perioperative clinics. What decision algorithms were used and was supporting literature for the decisions incorporated?

If anyone has any information could they please contact

Jennifer.Wiebe@covenanthealth.ca

Thank you in advance

Hello,

My institution uses TXA for trauma-transfusion, spine/large ortho surgeries, and OB emergencies. Thus far we have limited infusions to our critical care areas within our IV administration guidelines. I am exploring liberalization toward acute care units in some manner. Polling to see if others allow TXA use on non-ICU floors.

Thank you-

John Dempsey, PharmD, MHA
Medication Safety Pharmacist
Harborview Medical Center Pharmacy
Seattle, WA
Box 359885
Phone 206-744-6043

Good afternoon all,

I am reviewing our hospital's use of phenol in the OR, and was wondering if this practice continues at other institutions. If your institution previously used phenol, but is no longer performing this practice, would you be willing to share your journey away from the use of phenol? If your institution currently uses phenol, would you please consider answering the brief survey questions below? This is cross posted between Medication Safety and Clinical Specialists/Scientists forums.

Thank you all for your help and guidance.

Han

We need literature to support repackaging morphine and oxycodone oral concentrate liquid from multidose bottle to standardized oral syringes doses (e.g. 5 mg/0.25 mL). Manufacturer has no repackaging data and USP 795 states 14 days REFRIG BUD for aqueous compounded nonsterile oral preparations. Need information to support extended BUD in oral BD syringes. Thank you.

Jim Z

As per TJC, as of January 2018, pharmacy needs to have a policy addressing pharmacy review of medication overrides. How often are other hospitals are reviewing medications overrides? Is it monthly, quarterly, etc? Are any hospitals that have an override policy willing to share?
Thank you in advance for your response.

Sincerely,
Sudha
--
Sudha Narayanaswamy, PharmD, BCPP, BCGP, DPLA
Senior Vice President, Division of Pharmacy Practice
Acurity, Inc.

Do you limit the locations in which versed is stored in Pyxis/Omnicell?
If so, what is your process for getting it to the floor in a code/RSI situation?

Thank you!

Does anyone have restrictions on warfarin being in an automatic counter (ScriptPro, Kirby) because it is P-listed? Thank you!