We are currently evaluating our IV guidelines, specifically regarding the primary sources for determining beyond-use dating (BUD) for IV stability—whether to rely on manufacturing inserts or primary literature. We are seeking additional information on how other facilities establish BUD when the manufacturer's insert does not provide sufficient details.

Recognizing that this could vary by state, do you have any restrictions on what an LPN or paramedic can administer in comparison to RNs?

Thank you,
Stacie Ethington MSN, RN
Nebraska Medicine

It appears most brands of albumin no longer require special tubing. Do most facilities just use regular/standard IV tubing?

Would anyone be willing to share their protect from light policy? If you do not have a policy can you comment on how you delineate between protect from light for storage of medications vs those needing protect from light from mixing to administration?
Thanks all!

Hello.

Our organization recently moved our common use short acting insulin from locked drawers to our ADC to improve security.
For those of you who use common use insulin vials at your institution.
1. How do you mitigate the risk of RNs pulling up more insulin than needed & wasting the overage once they have checked the pt's BG at bedside?
2. Do you have a different process for providing insulin to pts in isolation?

Thank you in advance.

Vee

Hello!

Our hospital system is working on making the switch over to weight-based pressors in the next few months. We are reaching out to see if any of you have gone through a similar switch. Would love to hear what the operations looked like on the day of go live, and any lessons learned to make our conversion go smoothly.

Thank you,

Kirsten DiPiro, PharmD, BCPS
Medication Safety Officer
Wellstar Health System
kirsten.dipiro@wellstar.org
C:(770)714-9314

Hello all,

We are a recently established Diversion Prevention Program and are seeking a template or playbook on how to properly conduct a diversion investigation. If anyone has any guidance or documents that you would be willing to share on this topic, it would be greatly appreciated.

Thank you in advance for your assistance.

Best regards,
Amy

Hi,

I need insights/guidance on how to structure a REMS program to meet both pharmacy and provider regulatory requirements at a large hospital.

Few questions I have:

1. Do you have a REMS committee at your institution? If so, how many stakeholders do you have from the provider side? Do you have a point person for each REMS?
2. How are you keeping track of and documenting provider enrollment, provider education and patient counseling?

3.How did you incorporate EHR? Did you build BPA or LQL?

Hi all,
Checking in if anyone has seen precipitates in recent pentobarbital use? We had a visible crystal precipitate when pentobarbital was being administered with a runner fluid (the rate was so low). The runner fluid rate was increased, and it happened again. Thanks!

Hi all,
Checking in if anyone has seen precipitates in recent pentobarbital use? We had a visible crystal precipitate when pentobarbital was being administered with a runner fluid (the rate was so low). The runner fluid rate was increased, and it happened again. Thanks!