We use CADD pumps and ever since the bag spike change (March) we have seen an increase in reported events of the pump infusing air into the epidural space. Sometimes the reservoir volume has been programmed incorrectly and sometimes the bag spike has not been fully inserted. We are considering enabling the air-in-line setting to catch these errors sooner. Curious how your organizations have approached these settings. Thank you!

I've read through the discussions about methotrexate at physician offices which has led to more questions about other HDs. We own about 12 physician practices - these physician practices are not provider based clinics so they don't really fall under my radar of oversight. With USP 800 however, I feel obligated to provide some oversight on how to handle the HDs at the offices. Also, the drugs used at our physician offices are purchased by us, the hospital pharmacy, and we distribute to each practice requesting them.

Hello to All!

Question regarding intrapleural medication administration:

• Do you have any restrictions on who is able to administer intrapleural route medications such as TPA?
• If nursing is able to administer, do you have any competencies/procedures/education etc prior to administration via this route? Are you please able to share?
• What device are you dispensing in?

Thank you!

If your site utilizes metformin in an acute care setting, what safeguards or restrictions do you have in place?

TIA

Hi, does anyone keep glucose gel or sweet cheeks as part of their neonatal code tray?

For enoxaparin preparation/dispensing for doses that are not commercially available in syringes:
1) Do you allow doses to be dispensed in insulin syringes?
2) Do you use a dilution for doses less than 10mg or less than 5mg?
3) What concentration do you make your dilution?

Have any facilities developed criteria for use for carboplatin and cisplatin that you are willing to share?
In the scenario of having multiple patients with curative potential, but an inadequate supply to treat each patient, we'd like to establish some objective criteria or a scoring rubric that can be used to help prioritize patients.

Hi all,

Has anyone successfully discontinued injectable promethazine from their hospital? Would you be willing to share alternative drugs you discussed/considered, how the process was implemented? The biggest pushback we're getting from is from anesthesia and OB. Anesthesia is wanting to add amisulpride but that won't work for OB.

Thanks!

Have any other institutions added upadacitinib to formulary for inpatient use? If yes, can you share your dispensing process, given that the manufacturer only recommends storing in the original bottle, protected from light and moisture.

Thanks,

Frankie

How do your inpatient hospital pharmacy handle alcoholic beverages for patients?

1. Pharmacy buys and dispenses alcohol for patients with a physician's order
2. Nutrition/Dietary buys and serves alcohol to patients with a physician's order
3. Patients must supply their own alcohol with a physician's order
4. Your hospital is alcohol free (none of the above and no alcohol for patients)
5. Other (please explain)

Thanks -
Chad