Hi team, would love to get insight on how your institution is managing the Celestone shortage. We only have a few in stock and are trying to put together a plan.

Would appreciate your input!

Thanks
Abhi

Hi,
We are trying to review our medication history collection process to make it as robust as possible. The question I have for the group is, do you have the medication history collector (RN, pharmacy tech, other) document what the patient is actually taking on admission or what they are supposed to be taking?

Here are a few scenarios we are thinking through when we teach staff the best process and are struggling to provide clear guidance on what to document as active home med for instances like these.

Does anyone have policies around who can print patient arm bands?

Thank you,
Stacie Ethington MSN, RN
Nebraska Medicine

We historically only allowed IV iron products to be administered via IV infusion. Our cancer center and outpatient infusion center are considering giving doses

We received reports from our PACU nurses that Dilaudid 0.5 mg/0.5 ml syringes are presenting issues with flimsy plungers, excessive resistance to pushing, and questionable forward flow.

NDC: 76045-0009-06
Lot: 6401467
Exp: Aug 2026

Is anyone else experiencing these issues?

Hello!

Our institution has seen an increase in hypersensitivity reactions to Cabenuva injections in recent months. Nurses also note that the rilpivirine is “thick” when administering. Wondering if any other institutions have seen an increase in these reactions.

Hello everyone! We are having trouble with our current supplier of 0.22 micron filters, and the replacement supplier is quite expensive. At this time, we only have two formulary items that require the filter.

Are you running into supply issues? Do you routinely stock for just a few formulary items?

Thank you in advance for your response!

Diane

Looking to see what other sites have implemented to prevent administration errors with vancomycin.

We currently use a pharmacist managed vancomycin program, where the pharmacists order and time the trough/random levels, and dose adjust as appropriate.

Hi everyone,
Our facility dispenses various types of medication trays that look similar - Adult/Peds code tray, L&D epidural trays, aws trays, endoscopy trays, etc. The distinguishing factors are the label on the side and the paper of contents and rph signature on the top, and then the trays are sealed in clear plastic.
Are there any other ways your teams are distinguishing the trays your facility uses?
TIA!

Is anyone currently utilizating Admelog is a follow-on biologic of insulin lispro and is a EPIC user? EPIC looks like it has the default of both humalog and admelog on the same ERX even though they are not "interchangeable." If you are using it did you create equivalence groups in Epic or are you just having them on the same ERX?