Does anyone have a standard that limits haloperidol administration to IM route only?
Do you allow IV route under certain conditions?
Thank you!
Susan

This may seem like a silly post for pharmacy....

Does anyone have any instructions on directing nurses on how to administer Infusions? How are they directed to administer primary versus secondary infusions.

The issue is coming up with use of Alaris pumps and guardrails to prevent alarming...then with timing of chemo/investigational meds. In order to time the infusion properly, how do you get the drug through the line when administered as a secondary...keeping in mind that the line has to be cleared of the saline or dextrose. How is the pump programmed?

Hello,

I am wondering if anyone uses a web based or other type of software to manage unit inspection documentation. Please share what advantages and/or disadvantages of the product. Thank you! ---Jeff

Does anyone have a process for providing patients/families with a medication administration schedule while they are inpatients?

Randi

Can anyone share how they store meds for a patient who is on a large number of medications? Are all the medications in one tray or do you have enough real estate in your Pyxis machine to put each med for each patient in a drawer and profile it?

For those hospitals that care for pediatric patients, does your pharmacy provide a hydromorphone injection dilution for intermittent dose administration? If so, what concentration and stability?

We currently stock fentanyl 4 mcg/mL dilution and morphine 1 mg/mL dilution in our Pyxis for pediatrics, but for patients on very low doses of hydromorphone, nurses often need to dilute the hydromorphone 2 mg/mL product themselves to be able to administer the dose.

Your feedback is much appreciated!

Dear all
We are in the process of putting together a quality and safety journal club (not medication safety specific) We are doing this outside of the formal hospital structure as a space for good ideas to come to light and to cross boundaries.
Has anyone any experience of doing this, and do you have a charter or terms of reference?

Oisín Ó hAlmhain
Chief II Pharmacist (Clinical Pharmacy, IT & Medication Safety)
Midland Regional Hospital
Tullamore
Ireland

Does anyone have experience with Baxter Sigma infusion pumps and writing of the master drug library? In particular I'm curious regarding the settings involved in upstream occlusion alarms. Do you allow the nurse to inactivate these alarms? I'd be appreciative of any feedback you may be able to provide or discuss with me! Thanks.

I am new to this forum, so please forgive me if this topic has already been discussed.

Our Health System is in the process of standardizing and updating our crash carts and we have run into some issues regarding the epinephrine product in the cart. We previously had the 30 mL 1:1000 formulation but due to the safety concerns from the ISMP the pharmacy team has been pushing to remove it from carts. However, what we have found is that there are 1:1000 1 mL ampules but they are labeled for IM/SC use and there is concern about using them for IV use.

Can anyone share how they handle smart pump utilization with multiple chemotherapy drugs mixed in one bag. For example a patient receiving dose adjusted EPOCH. For this regimen the pharmacy prepares a 500 cc to a liter bag of normal saline with doxorubicin, vincristine and etoposide mixed together to infuse over 24 hrs for 4 days. Our nurses are requesting a "generic" multi-drug chemotherapy guardrale for the smart pump. The idea of a "generic" chemotherapy guardrale makes me uncomfortable.

Please advise how your organizations handle this issue.