Greetings all,
If you provide intermittent doses for syringe pump administration for peds/neonates do you provide overfill to prime the line or do they have to attach a flush syringe to flush at the same rate afterwards?

Are there any best practices in regards to this that we may be unaware of?

Historically the majority of our hospitals have been providing overfill but trying to standardize all hospitals to a single process and looking for best practice. Certainly are pros and cons to each (overfill vs flush behind)

Thank you in advance,
Dana

Does your facility store opened xylocaine/epi multi-dose vials at room temperature or in the refrigerator?

Our clinic's procedure is to use the MDV once. However, due to product shortage we are using the MDV more than once.

Thanks.

Hello All,

Amox/clav tabs must be dispensed in the original container. How do you dispense it when the Rx calls for less than what is packaged in the manufacturer bottle? Example, when a 7 day instead of a 10 day supply is prescribed? Remove 6 tabs and dispense the remainder in the original bottle with counseling that the seal was broken by the pharmacy or dispense the full bottle with counseling to discard remainder?

For inpatient services, do you prepackage these types of drugs and store in ADC or dispense per request to units?

Thanks!

Hello everyone,

Does anyone have any policies/procedures/standard work for what to do with narcotic drips on transfer and how/where to document?

When a patient is transferred IN, do you dispose of the prior bag and hang your own bag? How do you document that disposal?

When a patient is transferred OUT, does the drip go with the patient?

Hi,

We are implementing Cerner and looking at creating integrated dose checking and dose alerts.
Interested in know if you you utilize this and if so what type of variance you have placed for high dose alerts. We are trying to balance safety with alert fatigue
Thanks
Jacqueline Roberts
Perth and Smiths Falls Hospital

- Who prepares your pediatric enteral feeds and what safeguards do you have in place for the process?
- Does pharmacy participate in the direct mixing of enteral products, including specialty formulas for patients with allergies?
- How does it get labelled?
- Does it get scanned?
- How do you check for allergies?
- Do you have double verification process?

hi there!

Wondering if others are experiencing any product issues / complaints with the Avet manufacturer Propofol vials. Have had a couple reports of vial stoppers popping into the vial with puncture and product spraying out with puncture.

Reported lots:
ES220289A (exp 10.2024)
ES202249A (exp 9.2024)

Thanks in advance!
Emily

Hello Everyone,
Years ago we use compound alteplase 1 mg syringes and freeze for 6 months pre USP 797. I realize the package insert states 8 hour stability. There are studies that support compounding stability and cyro storage of -30C for 22 weeks. Any infor would be appreciated.

We are seeing more and more LR being used for maintenance fluids and issues with the nurses hanging piggybacks that are incompatible. Does anyone have a good list of meds that cannot be Y-sited with Lactated Ringers?

Do any institutions unit dose/blister pack medications that the manufacturer explicitly states to keep medication in original packaging? If so, what supporting information and BUD is attached to the newly packaged item?

Thanks!