Hi,
What are other centers planning with the news that Lilly will be discontinuing Humulin R 10mL vials by April 2026? We currently use this for our production of infusions, diluted doses for neonates, as well as direct IV for hyperkalemia treatment. Myxredlin will be an option for our infusions but comes as 1 unit/mL but the container may not be able to be used for dilutions or direct IV doses and the company advises against it.
Thank you,
Terrence Davidson
Medication Safety Pharmacist
Saskatoon Saskatchewan Canada

Our site is facing an impending shortage of PCA (Patient-Controlled Analgesia) vials and will not be able to safely transition to Alaris PCA pumps until 2026 due to supply and implementation constraints.

In the short term, we are actively exploring alternative options to manage pain safely and effectively while minimizing disruptions to patient care. Specifically, we are:

Does anyone have recommendations, protocols, or successful strategies they've used during PCA vial shortages? We are especially interested in:

Hey Everyone!

I'm just wondering if anyone has tips or recommendations on safely keeping both 10 mg/mL and 100 mg/mL ketamine in the same Pyxis. We've encountered a few emergency situations where IM or intranasal ketamine (100 mg/mL) was needed, but most of our units currently only stock the 10 mg/mL concentration due to concerns about the significant concentration difference. Both concentrations are currently set as overridable in the Pyxis profile. Any recommendations on how to manage this safely would be greatly appreciated. Thanks in advance!

Rachael

We are reviewing the practice of drawing more than a single dose into a syringe. This has been discussed by ISMP over the years (February 2016 Volume 14 Issue 2) and is a future question in the IV push guidelines (Under what circumstances is it safe to draw up more than one dose or use a single syringe that contains more than

We are currently implementing a new High Alert policy within our Health Authority. We are interested to learn what other OR's are doing in regarding processes around high alert medications especially involving anesthesia. Is storage labelled, made syringes labelled, independent double checks, etc. If you can share your processes that would be very helpful. We currently do not have electronic anesthesia carts (Pyxis carts) nor Codonics/barcode scanning.
thank you,
Terrence Davidson
Medication Safety Pharmacist
Saskatoon, Saskatchewan, Canada

We are evaluating implementing Pyxis printers on all our Pyxis MedStations. This was specifically requested for our multidose insulin vials. I was wondering if many other sites use this technology and what other medications you have found value in labeling. Thank you!

When administering vincristine IV for an inpatient through a PORT or PICC is your standard to run it via gravity or can nurses use an infusion pump for administration? Thanks.

Hello, I’m wondering what approach your hospitals might be taking in light of NIOSH
merging the reproductive drug category into table two.

Hi all,

We are in the process of reviewing computers and cameras for IV compounding via EPIC. 

1. What camera and computer/tablet are you using? What would you recommend? 
2. Any Lessons Learned?
3. Are Computers and cameras outside the hood, or inside? We have laminar flow hoods & glove boxes; SCAs and Clean rooms; HD and non-HD areas. The space is limited at each location. 
4. If you are willing to share your setup, I'd truly appreciate it. 

I'd appreciate the opportunity to connect with other facilities using the Novum IQ pumps to discuss library configurations and pump settings.
Please reach out!