What is everyone's thought about having infiltration as one of the routes available for provider selection?

A few times, individuals have questioned the route itself and reported they are unfamiliar, prompting us to review the topic of "infiltration." As we know, quite a few meds are administered via this route, and our goal is to prevent any inadvertent administration of meds via IV in place of infiltration. I could not find any ISMP guidance on this topic, and I wanted to ask the group what they have at their institutions.

RB

What is everyone's thought about having infiltration as one of the routes available for provider selection?

A few times, individuals have questioned the route itself and reported they are unfamiliar, prompting us to review the topic of "infiltration." As we know, quite a few meds are administered via this route, and our goal is to prevent any inadvertent administration of meds via IV in place of infiltration. I could not find any ISMP guidance on this topic, and I wanted to ask the group what they have at their institutions.

RB

Hello all,

I am wondering if anyone uses the gray market to purchase items on shortage. I know previously these markets were not regulated, but now that they will need to be regulated by the FDA, are more using them? I guess a bigger question is how can you be sure that they are following those regulations? Just for safety, integrity of the medications you are purchasing. Thanks!

Hi, my name is Jocelyn and I work in a patient safety organization within Veterans Health Administration. Is anyone currently using ICU Medical infusion pumps that is willing to share implementation strategy? There are some medical facilities that are considering changing from Alaris infusion pumps to ICU medical. Thanks!

If you implemented locked boxes and/or portless tubing to secure controlled substances administered as a continuous infusion, could you please share how you dispense/store these boxes and tubing on patient care units for medications stored in Automated Dispensing Device (e.g., Pyxis)? For example, if a patient has a new order for controlled substance infusion and the medication is available in Pyxis, where will the nurse obtain the lock box and tubing?

Thank you so much in advance!
Viktoriya

Do you allow access to your pharmacy to emergency personnel? We are updating our Emergency Preparedness (particularly Active Shooter) and would love to hear what others are doing.

Other than use of auxiliary labels, what other mitigation strategies have you used to ensure the correct route of administration when Ciprodex Otic Drops are being used off-labeled for inhalation? How do you prepare / dispense from pharmacy?

Greetings!

High error reporting rate would either mean reporting culture is fantastic or plenty unsafe practices. And Lower rates could possibly be under-reporting due to punitive culture within an organisation or commendable safe practices.

So, my question is 'Is there an acceptable fine line or limit that any of your organisations have adopted to reporting culture and validate the number of reports to what's happening? If so, may I understand how this limit was defined? Is it from previous years'average data?

Does anyone have a policy/procedure for using medications off-label that they would be willing to share? We are looking for details on consent, patient education. Thank you!
Christopher Pope PharmD SGHS Pharmacy Medication Safety Committee

Hell !
A couple of questions on this- and I will share my results once people have responded.

https://www.surveymonkey.com/r/8YDKRCN

this is a three question survey- if you could please take I will post results.
It is about storage and use of POM
thanks
Laura