Hello,

We are having difficulty obtaining both SWFI and NS vials to use for medication reconstitution.
I am having difficulty coming up with creative solutions and effectively discouraging the use of NS flush syringes for med reconstitution (particularly for some of our hospitals that do not have 797-compliant IV rooms). Would love to hear ideas from others!

What is your timeline for converting to Enfit?
A. Within the next 3 months
B. Within the next 6 months
C. Before the end of 2018
D. Not sure

If you have converted, any tips on a smooth transition?

Thanks,

Karen Dunkelberger RPh, CPPS | Medication Safety Coordinator
PARKVIEW HOSPITAL | PARKVIEW REGIONAL MEDICAL CENTER
11109 Parkview Plaza Drive Fort Wayne | IN 46845
Phone: 260.266.4421 | Cell 260-760-2617

Medication Safety: It’s all about the Patient!!

Hello All
Wondering if anyone allows for medications to be pre-checked in order sets? Does anyone have any guidance on this issue? ISMP's guidelines for standard order sets doesn't address this matter. Thanks
Niloofar

Hello All,

As a part of TJC 2018 revisions hospitals must have a policy that describes the types of medicaiton overrides that are reviewed for appropriateness. Would you please share how your organizaions are handling the following.

• What types of medication overrides are hospitals choosing to review?
• If you do not review non-profile ADC overrides, why not?
• What are you looking for to determine in an override is compliant?
• What steps does your practice take to address non-compliance?

Thank you,
Ashley Warnock

Hello,

Could you please share how your organization handles the storage of controlled substances once they have been removed from automated dispensing cabinets by nurses?
-Is there a defined time that the nurse must administer, return, or waste the controlled substance after removing it from the automated dispensing cabinet?
-Can controlled substances be stored in the drawers of Computers on Wheels?

Thank you.

Is anyone aware of regulations to document lot# for medications derived from pooled human blood, such as IVIG, albumin, or KCentra? It seems like something that should be documented but I cannot find any regulation on this.

Hello,

Could you please share how your organization handles:

A. Patient’s Own Medications (brought to the hospital because they are ordered for administration and not available through pharmacy)
• How are medications stored in association with an automated dispensing cabinet?
• How do they appear on the medication administration record (eMAR)?
• Do you relabel these products?
• How do you handle barcode scanning for administration of these medications?

How does your hospital dispense cyclosporine oral solution (Sandimmune or Neoral)? We have PVC-free oral syringes to draw up doses but do you drawn up doses ahead of time i.e the night before or do you dispense doses on demand? The manufacturer recommends only using the syringe provided which does not come with a cap and instructs patients to draw up the dose immediately before use. However this is catered to home use and is not practical for a hospital that needs to dispense to multiple patients from one bottle.

We recently had a request for rocuronium to be used in the Allergy clinic for patient sensitivity testing. As I found out, there is primary literature that speaks to allergy testing of NMBs when a patient has anaphylaxis to one of these agents since there is cross-reactivity. I prefer to have pharmacy own this process, to minimize the risk of a NMB used in clinic setting, but would like to hear how others are handling this type of request.