Curious if anyone is using the "bolus from bag" feature with their smart pumps for heparin infusions in adult or pediatric patients?

What advantages and disadvantages do you see?

Thanks,
Walton Gibbons
Medication Safety Officer
ECU Health

I'm evaluating workflow for enriching hemodialysis solution with sodium phosphate additive. This is somewhat of an unconventional workflow from pharmacy perspective, so trying to ensure safety of this process. There are reports in literature of hemodialysis solution being enriched with fleets enema or sodium phos 3mmol/mL injection added to final solution. Brief overview of practice is found here: https://doi.org/10.5301/ijao.5000453

Hello all,

For anyone who has the anti-amyloid monoclonal antibodies (Kisunla, Leqembi) on formulary - what have you put in your EHR regarding warnings for ARIA when patients present with stroke-like symptoms? When and how do the warnings fire? Thanks so much!

Checking to see if anyone has use the mini-bag system with Zerbaxa. We are currently making under hood.

Does anybody have refrigerators in surgical rooms? We are looking at adding refrigerators to our Pyxis and just not certain this would be safe. If not, any specific regulations this would be breaking?

There are currently many treatment programs that call for the use of cutting Suboxone film to achieve a 1/2 or even 1/4 sized dose of the film. I am looking for standard instructions that can be provided to nursing that allow for consistent dosing of these partial doses.

Hello med safety friends,

My pharmacy currently dispenses subcutaneous doses plus overfill, along with the subcutaneous needle in the bag (not connected). Having the subcutaneous needle dispensed with the dose syringe was to help mitigate wrong route errors. Our pharmacy department would like to get away from dispensing needles altogether. What are your safeguards to mitigate wrong route errors with subcutaneous/ IM medications? We do indicate on label that 0.05 mL has been added.

Has anyone added boric acid vaginal suppositories to their Formulary? If so, what additional warnings and safety precautions have you added to help ensure it is not administered orally?

Thanks!

Hello Members,

Can you share the metrics you use at your institutions to meet NPSG AC requirements re: Use of approved protocols and evidence-based practice guidelines for perioperative management of all patients on oral anticoagulants?

We have approved guidelines available but not strictly asked the team to strictly follow since certain cases may required them to deviate from the guidelines.

Any info/insight is greatly appreciated!

Thank you,

Manisa

Hi,

We've been noticing whenever we make a NICU syringe (any med) using a 1 ml enfit syringe, a lot of times it leads to either a huge air bubble in the syringe or volume loss. It doesn't happen with the 3ml or 5ml syringe though. I was wondering if other institutions experience the same and if they use a different syringe or cap for a 1ml syringe?