MSOS Discussion Board

Pharmacy vs Nursing for Retiming Medications

DiAnthia Patrick's picture

Forums: 

Hello,

We're starting to see a few errors creep up relating to re-timing of medications. Currently nursing is responsible for retiming medications at our organization. In my previous organization, Pharmacy was responsible for retiming (and timing the first doses) of medications. We're considering whether we want to take on changing this workflow such that Pharmacy owns retiming.

Has anyone done this project to convert from nursing to pharmacy with who owns retiming med orders in your institution?

I welcome any comments, or recommendations.

Thanks!

Diversion Prevention Task Force Development

DiAnthia Patrick's picture

Forums: 

Hello,
We're in the early stages of developing a multi-disciplinary structure for a Diversion Prevention Task Force.
Would anyone be willing to share their insights on development and/or any policies, workflows or SOPS related to this huge endeavor?

Thanks!

DiAnthia Patrick, PharmD
Childrens National Hospital
Washington, DC 20010
Director, Med Safety & Regulatory Compliance
dpatrick@childrensnational.org
(202) 476- 4798

Medication History Documentation Practice Question

Carley Castelein's picture

Forums: 

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.

Hydromorphone (Dilaudid) 0.5 mg/0.5 ml Syringes

Perry Shafner's picture

Forums: 

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?

Cabenuva Reactions

Kristen Hughes's picture

Forums: 

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.

0.22 micron filters - stocking for only 1-2 meds?

Diane McClaskey's picture

Forums: 

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

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