Hello,
Regarding fentanyl, morphine, and hydromorphone injectable shortages - seeking (creative) mitigation strategy ideas. Please share what your institution is doing to conserve supplies, especially for procedural areas where PO is not an option.

Thank you

How are High Alert IV medications labeled on your inpatient nursing units?

Good morning,
Does anyone work somewhere where the pharmacy closed overnight and allows RNs to make banana bags on the floor?

Also, I always considered banana bags medium-risk compounding with 4 vials additives, would anyone else consider them low-risk instead? Thanks to anyone that can provide any insight!

Respectfully,
Jane Mauro

What are mitigation strategies being utilized to conserve IVF bags?
We are considering:
1. IVP cephalosporins
2. IV to PO conversions whenever possible

Hello,

Wondering what others are doing regarding the Lidocaine w/Epi and bupivacaine w/Epi shortage. Thank you.

Do you use "barn" doors (top and bottom halves of the door open separately) at your institution, particularly in behavioral health (BH) areas? Any pros/cons or regulatory issues to share? I would also be interested in hearing about BH room designs for prepping and administering meds where patients come to the med room (versus the meds being taken to the patients).

Current practice in our OR is anesthesia fills their machines with the gas and then the bottle is returned to the ADC to ensure these are locked up. The problem, however, is the bottles being returned are partial (open) bottles. Thinking about maintaining integrity, would there be any concerns with these partial bottles remaining in the ADCs? Outside of keeping these locked up, the only other option would be to top off the reservoir and then waste the remaining amount. We want to ensure we can speak to the integrity if anything is mentioned during a survey.

We are working to build some type of prescribing alert for transdermal fentanyl to deter the prescriber from ordering in opioid-naïve patients. Would any of you be willing to share what alert (if any) you have built at your institution and what EMR you use?

Hi!

We have been having some issues with "missing medications" related to standard administration times. To help us solve this can you answer the following.
Ideally, only pediatric dispensing please answer as we know those doses all have to be drawn up individually rather than a standard stock dose that can be stored in Pyxis...(Thanks)

I hope this makes sense to you...