As a health system we are working on the USP 800 guidelines/Hazardous drug list.

I was curious what other institutions are requiring on the nursing end for the IV drugs in table 2 and 3 of the hazardous drug list. Some of the ones that are concerning to me are Dilantin, Valproic Acid, Zometa, Pamidronate.
1. Are you requiring nurses to handle these as chemo agents as the NIOSH would suggest? chemo gloves, gown, and CTSD for administration ?
2. If not what requirements do you have in place ?

Any help is greatly appreciated.
Nancy

As a health system we are working on the USP 800 guidelines/Hazardous drug list.

I was curious what other institutions are requiring on the nursing end for the IV drugs in table 2 and 3 of the hazardous drug list. Some of the ones that are concerning to me are Dilantin, Valproic Acid, Zometa, Pamidronate.
1. Are you requiring nurses to handle these as chemo agents as the NIOSH would suggest? chemo gloves, gown, and CTSD for administration ?
2. If not what requirements do you have in place ?

Any help is greatly appreciated.
Nancy

In light of the USP 800 deadline, I have a few questions about gloves.

1) Is your institution keeping both chemocertified and regular gloves?
2) Is your institution planning to use chemocertified gloves for ALL medications?
3) If yes to #2, how will you differentiate disposal of non hazardous drug-contaminated gloves vs. HD contaminated gloves?

Thank you,
Daniel

Can anyone give me your thoughts about having ambulatory surgery outpatient fluid orders auto-verify? Any regulatory concerns? Any safety concerns?

Hello All,

What hang time does your policy allow for IV bags with or without drug additives (i.e. how long can the IV be infusing without the need to change the bag)? Our policy currently states 24 hours, but we are considering moving to 96 hours. For instance, consider a premix bag of dopamine running at low rate. How frequently does the bag need to be changed?

Thank you,
Daniel

Hi all -

Does anyone have a standard around reporting of extravasation events, such as how they're coded (i.e. treatment related, med error, ADR, etc) and if there's a certain volume cut-off for reporting said events?

Thanks,
Elizabeth

Looking for your experience and practice. with spreading use of automation dispensing cabinet which required mostly to have the medication in unit dose format.
1. How do you provide nebulizer medications as Colistin neb., Sodium chloride 3% neb. as patient specified unit dose
2. Is it required aseptic technique
3. If you use syringe; what type?

Nissreen

Hello All,
For those Pharmacy Departments preparing Exparel plus bupivicaine, is the mixture prepared in a bag or syringe? How does the surgical team decant onto the sterile field? Does the team use a basin or some other device?
Pharmacy and Infection Control like a syringe to syringe transfer device however the operating room nurses do not.
Thank you in advance.
Maria

Has anyone been successful in tackling this item from the “ISMP National Summit Optimizing Safe Implementation and Use of Smart Infusion Pumps: Post Summit Draft Safe Practice Statements”:

"2.14 Standardize the management of infusion OVERFILL, volume to be infused (VTBI), and FLUSHING parameters (for INTERMITTENT INFUSIONS)."

This topic gets debated at my facility every couple of years, and we've never come to a consensus on how to handle it.

Just wondering if any other Epic hospitals with Beacon specifically have worked out a way to handle the below scenario.