We have had some errors with non-Formulary medications. Has anyone classified these agents as high risk? We scan the non-Formulary meds when dispensed but they are not scanned when administered. Staff can be unfamiliar with them and can be error prone. How have other places addressed non-Formulary meds from a safety perspective?

The Malignant Hyperthermia Assoc. of the US (MHAUS) recommends stocking 100 mL sterile water for injection vials (without a bacteriostatic agent) to reconstitute dantrolene. These vials are not available from our suppliers (all have a bacteriostatic agent in them)and the Nurse Educators state that it would take too long to reconstitute each vial individually and therefore use a bag of sterile water for injection and use a "transfer infusion set" that utilizes one bag for multiple dilutions, thereby saving time.

Are RhIG products stocked in the pharmacy at your facility?

If yes, what safety strategies do you have in place for these items?

Do any of you have an observation based error tracking system in place?

What system do you use?

What types/how many process improvement projects or action items have been identified using observation based error tracking?

How has your organization responded to this type of tracking? (positive vs negative feedback)

How long did it take to implement?

Any insight is greatly appreciated!

Thank you,

Are any facilities using KCL for therapeutic abortion in the OB clinic setting? If so, how have you structured the ordering and dispensing workflow? What safety checks do you have in place.

Best,
Drew

According to The Joint Commission's standard MM.03.01.01, EP 10 "Medications in patient care areas are available in the most ready-to-administer forms commercially available or, if feasible, in unit doses that have been repackaged by the pharmacy or a licensed repackager."

Lorazepam is available in a Carpuject, but requires special equipment, training, and extra storage space.

Does anyone use separate in-line air detectors when a syringe pump is being used (which do not contain air-detectors themselves (Alaris))?

Thanks,

Randi

1. Does your pharmacy dilute fentanyl and or morphine for small doses?

2. To what concentration do you make the dilution?

3. If yes, then do you store these in an automatic dispensing machine such as pyxis or Cerner med station on the floor?

Hi

I need to develop a new position description for a Medication Safety Pharmacist. If you are happy to share one, please email me at patel.ish@gmail.com

Thanks

ish

Hello,
In situations when a medication is being administered using a "smart" infusion pump and the nursing staff who have programmed the pump receive a soft limit alert, does your organization describe in policy/procedure the specific actions to be taken prior to overriding the soft alert?
Thanks
Jen Turple
IWK Health Centre
Halifax, NS Canada