I help manage 23 smaller, critical-access hospitals within our health organization. One of the struggles we have been having are nurses/providers not knowing they have certain meds available (ie Kcentra, nicardipine, praxbind, etc).
Often the smaller sites will transfer these pts to a higher acuity of care to our larger medical centers and assume they don't have access to some of these critical meds. We have pharmacist on-site (not 24/7) and a remote service who manages after hours.
Any ideas of how we can better communicate or make staff more aware? Because they are smaller sites and have lower frequency of using these meds, they may not be as familiar (especially when interchanging brand/generic names).
Thanks for your assistance!