Hi all,
Do any health systems/hospitals with pediatric populations have independent pharmacist double checks for IV or oral products after it has been prepped/compounded by technician? If so, what meds or times does this occur?
Thanks!
Casey Moore

Hello all,

Less than a year ago, pharmacy started sending inactivated Clinimix bags to the floor for nurses to activate at time of administration to extend beyond use date versus activating in pharmacy and delivering to the floor hours later (we rolled this out along with a similar process for CRRT bags). Unfortunately, we have had numerous errors where the Clinimix activation did not occur and was noticed on rounds or by another shift. We do not have Pyxis space to add to there and provide an alert / CDC.

Hi everyone,
We're updating our inhaled epoprostenol policy and taking a look at newer literature, thinking about efficiencies without losing safety.

We have a multidisciplinary System Medication Safety Meeting representing many hospitals from different regions. Our agenda is made up of a lot of report outs of different initiatives, but we would like to make the meeting more interactive instead of just report outs. Has anyone had success in creating an interactive medication safety meeting and would be willing to share their agenda? Thank you!

We have having challenges with keeping out hazardous cleanroom suite within the narrow 0.01-0.03 negative pressure range requirements. We do not have a pharmacy-dedicated air handler.

Hello,
I would like to review our hospital's meds to make sure we're storing everything properly with protect from light. The latest ISMP article addressed it with a linked article, but I can't seem to get it to open. Would anyone happen to have that article or an official list? Thank you!

Does your facility require a compounder to be tested in every area they work? for instance, here we require testing in our cancer, or, and inpatient areas so that individuals must be tested in all 3 places to work in all 3 places.

We recently had a request to add mL in addition to units for compounding software in IV room. This is concerning with markings on the syringe (not insulin syringe) as well as 100x dosing errors.

On 2/8/24 CMS published Memorandum Summary which states that texting patient orders is now permissible if HIPAA compliant and compliant with CoPs. For ordering medications this seem like a huge safety concern. We can easily find multiple examples of providers trying to text orders which did not contain all requirements of a medication order (for example no route, no frequency etc.) and used abbreviations on the "Do Not Use" list. There is no tall man lettering in texting orders.