Hi everyone,

I'm wondering what dosing protocols your sites use for elevated ICP indication, and if you use a loading dose at the beginning (e.g, over 1 hour or 3 hours), how is the order set built and how do you program it in the pump. A separate IVPB? A bolus from the infusion bag? Are they separate orders in the order set?

Hello! We are seeking insight from other institutions to understand if dosing recommendations have been clearly defined for the administration of ketamine IV push between pain management dosing and sub-anesthetic dosing?

Thanks!

Hello!

For those institutions using methoxsalen for administration via the THERAKOS CELLEX photopheresis system, what safety measures do you have put in place to prevent this from being administered IV?

Thanks!
Annie

I am curious how many are utilizing IV hydroxyzine at your institution? If yes, please answer:

A) Do you require a central line for administration?

B) Do you have any restrictions around its use?

C) Do you dilute it?

B) How long do you infuse it over?

Does anyone have data to support use of IV administration?

Hello!
Does anyone allow anyone outside of the Pharmacy to assign a patient specific bin in their automated dispensing cabinets?
I have searched IMSP ADC Guidelines but don't see anything that specific.
Appreciate your responses!
Anjali

Anjali Arora Todd, PharmD
Pharmacist Specialist, Medication Safety
The University of Tennessee Medical Center

Hello fellow Med Safety officers!

Hoping to get ideas on how to improve the following workflow.

To facilitate the appropriate administration of scheduled medications (e.g. antibiotics) post dialysis & minimize the risk of a missed dose, our pharmacists currently set MAR times to evening/bedtime hours and add a standardized smart phrase to the admin instructions section of the order to administer the dose as scheduled, except after HD on HD days.

Hi,

Our outpatient oncology clinic is considering switching over to elastomeric fluorouracil pumps for all infusion durations (range from 48 hours-7days). We currently only stock pumps for 48 hour infusions. We were curious if any other organizations stock more than one size/flow rate and what safety precautions you have in place to keep them from being mixed up.

Thanks,
Michelle Heidel
Cancer Care Specialists of Illinois

How are others mitigating the insulin glargine shortage? We currently do not use pens at our facility and cannot order any of the biosimilars. Has anyone withdrew the insulin out of the pens in their sterile hoods and then used that to draw up individual doses?

Would everyone please share how they handle illicit substances brought into your hospitals. These are items like meth, marijuana, fentanyl laced street products, cocaine (non-mfg), etc.
1. Are you turning them over to local authorities?
2. Wasting on site and if wasting on site how are they handled?
3. Do you have a vendor that allows this to be completed on site?

Would everyone please share how they handle illicit substances brought into your hospitals. These are items like meth, marijuana, fentanyl laced street products, cocaine (non-mfg), etc.
1. Are you turning them over to local authorities?
2. Wasting on site and if wasting on site how are they handled?
3. Do you have a vendor that allows this to be completed on site?