Our hospital switched to the Wireless Parasol Fall Prevention system years ago. We are evaluating different options at this time. If you have a system that easy for nurses/therapist to use and are seeing successful fall prevention results with, would you please share the name of the chair alarm system with me? Thank you!! April

We've seen a cluster of adverse events related to Dotarem (gadoterate), most of which have been mild, but MRI safety group is concerned. Has anyone else seen an uptick in events?

Hello everyone,

I am an intern working at an inpatient pharmacy for a big hospital. We are looking to know if anyone has experience with devices for controlled substance testing such as with VerilinkRx or PharmID Waste Witness? If so, what has your experience with using such devices been? The purpose of using the devices would be to test concentrations of a sample to evaluate possible cases of diversion.

Thank you in advance!

For outpatient infusion clinics who send patients home on a pumps, do you utilize pump libraries for these outpatient pumps?

Our facility utilizes Cadd-Solis pumps to infuse long medications such 5-FU, etc.

Hello all,

1) Do you allow TPN rate changes after the TPN is initially ordered?
a. If yes, do you allow the TPN rate to be increased from the initial rate, or do you only allow rate decreases?
b. If you allow rate increases, do you outsource TPNs to a compounding pharmacy vs. compound TPNs in house to facilitate dispensing additional bags as needed when the rate is increased above the initial order and dispensed bag?
c. Is the rate change made by directly modifying the TPN order vs. on a separate order (e.g. nursing communication or other)?

We are reviewing our processes for compounded sterile products (CSPs) prepared by pharmacy that come out of our CPM. Our goal is to ensure these products are never inadvertently sent to a patient care unit.

Could you share how your organization manages this workflow? Specifically:

Do you have system-level safeguards (e.g., Epic configuration, barcode restrictions)?
Are there physical or labeling controls in place?
How do you handle staff education and verification steps?

Any best practices or lessons learned would be greatly appreciated.

Good afternoon!

For facilities that have achieved a 95% utilization of your smart pump library, what interventions did you utilize to encourage use of drug/fluid files vs using a basic infusion mode on your smart pumps?

What stakeholders were involved in the project and who led the initiative?
If it required multiple interventions to achieve this goal, was there an intervention that had a larger impact that you would recommend as an initial starting point?

My 154 bed regional hospital is working on reviewing the KIDs list and comparing it to our local formulary. Does anyone have a best practice on how to continually review for the inappropriate excipients for our pediatric (mainly neonatal) population? Thank you!

Morgan Drew Greutman, Pharm.D., BCPS
Clinical Pharmacy Specialist
morgan.greutman@lifepointhealth.net

My 154 bed regional hospital is working on reviewing the KIDs list and comparing it to our local formulary. Does anyone have a best practice on how to continually review for the inappropriate excipients for our pediatric (mainly neonatal) population? Thank you!

Morgan Drew Greutman, Pharm.D., BCPS
Clinical Pharmacy Specialist
morgan.greutman@lifepointhealth.net

Hi Everyone,
Wondering if any of you have been successful in implementing a reliable process to ensure that any patient with an insulin pump PTA has the appropriate monitoring and insulin regimen on board (whether or not the pump is continued). Especially for patients who are undergoing procedures, and/or there are a lot of handoffs and transitions of care, I would be really grateful if anyone could share their processes and how your pharmacists are involved in the care. Thank you! Alex