We are evaluating our processes for dispensing and storing large-volume fluids containing Potassium Chloride (KCl) and are seeking input from other institutions on the following:

•Are these fluids supplied by pharmacy or central supply at your organization? If your organization uses a mixed approach, do you have a defined potassium chloride (KCl) threshold—such as 20 mEq—where products at or below that cutoff are supplied by central supply, and products above are provided by pharmacy?
•Are these fluids stored in Automated Dispensing Cabinets (ADCs) at your organization?

Currently, our organization uses a mixed approach, with some large-volume fluids containing KCl provided by pharmacy and others by central supply. This has created uncertainty regarding the appropriate access points for these products. We are hoping to develop a standardized approach that balances both safety and operational considerations.

Any additional insight on how your organization approaches the dispensing and storage of these solutions is greatly appreciated!