I am curious what other institution's policy around intravenous calcium chloride and calcium gluconate administration is. Do you require administration through a central line/PICC? If so, at what dose do you require central/PICC line?

Thank you!

We are a small hospital with a 6 bed ICU, 25 bed med/surg unit. Pharmacy hours are limited (pharmacist on call midnight-7am). We currently have ready to use precedex vials. We are exploring the idea of allowing nursing to draw up the loading dose (from ready to use container) to be able to start the infusion earlier (we use often for ETOH detox indication). If allowed pharmacy would like to require a nursing double check of the loading dose. Would anyone be willing to share more details about their Precedex policies? Do you allow drawing up the loading dose on the nursing unit?

Hi everyone,
I'm wondering if anyone has any psychostimulant prescribing monitoring in place within your health system. We were recently alerted to a patient requesting multiple prescriptions each month at different pharmacies, reporting that the first pharmacy was out of stock. The patient would then fill the prescription at each pharmacy - paying with insurance at one then cash at the other.

Hi All - looking for comment on the FK drug library capacity and whether you found any limitations to its size when developing your libraries and profiles.

Our organization is looking for information regarding dual controlled substance handoff for nursing. Are there any organizations which have a process for nursing handoff of controlled substances within the EMR system. Any help would be greatly appreciated.

Envarsus (LCP-tacrolimus) is a once daily tacrolimus formulation that increases adherence and decreases side effects in children with organ transplants. Recently Veloxis, the drug company who produces and sells Envarsus, restricted the use of the Envarsus copay card to patients 18 years old and up. This has resulted in pediatric patients transitioning back to IR twice daily tacrolimus, negatively impacting patient care. We are working with leadership groups (CHA and PPA) to ask Veloxis to reverse this decision.

Per our current hospital policy caregivers are allowed to wear headphones in non-patient care areas. Pharmacy staff are allowed to use headphones in the pharmacy. We have had some recent concerns brought up about this and how listening to music and especially podcasts and audio books can be distracting and increase the risk of medications errors when preparing and checking medications. I would love to hear about what stance or policies other health systems have on the use of headphones in the pharmacy. Thanks!

Our facility is going to implement a pharmacy to draw up Lantus policy. We use Sanofi brand and in the package insert it states to use as soon as possible. What is the stability you are given these drawn up doses?

Hello,

We have had recurrent errors in our pediatric hospital with programming weight-based bolus doses into the pumps (Alaris). The root cause appears to be the way these are displayed on the MAR: The most common error is programming the "Ordered Admin Dose" (volume in mL calculated from the mg/kg dose and concentration) instead of the "ordered dose" in mg/kg, sometimes resulting in 10 fold errors.

We are looking to evaluate the current medication contents of our Adult crash cart. Can we remove something? Is there something we should add? Just focusing on the Adult medication tray for now.

Would anyone be comfortable sharing their list or is there a standard list I cannot find? Thanks