Dear Collogues,

We just opened a behavioral Health institution and we are in the process of getting it accredited by TJC. Standard MM 01.01.05 requires the institution to have a dedicated policy to to address the following issues.
1. The use of multiple psychotropic agents in the same class
2. The use of high-dose pharmacotherapy
3. The prevention, identification and management of side effects, including tardive dyskinesia.

Hello all,

With the onset of RSV we have found that our current order sets for peds that are intubated are not up to par and would like to update these. Your help would be appreciated.

Thank you,

Lisa Dodson DPh

Hi,

Per DNV recommendations that temp/humidity monitoring occur for all stock IV fluids, does anyone have an AoR that has been completed for areas outside of Pharmacy (med rooms, central, etc.)?

Thanks,
Melissa

Wondering if anyone works at hospitals that allow medication order transmittal via secure text, or if anyone has information supporting this practice? In a way it seems safer than verbal orders.

Thanks

I need some assistance. We are currently evaluating how we ensure safety of medications to our patients when our EHR is down.

Core question - How do nurses know that the order they have has been reviewed by the pharmacist and is safe to administer? If the ADC has the medication and it has been switched to cabinet dispense. What is the RN's trigger that all is well? The equivalent to the pharmacist verifying the order?

For those of you who have thought this through and developed a policy please share. We are needing to revise policies ASAP.

Hello Everyone,

ASHP released a drug shortage notice for Hypromellose 2.5% Ophthalmic Solution and did not list any available products or alternatives. What is a therapeutic equivalent for Hypromellose?

I understand that other products like Refresh (Carboxymethyl cellulose) have a lower water retention rate.

Thanks,
Feny R.

Hello Everyone,

ASHP released a drug shortage notice for Hypromellose 2.5% Ophthalmic Solution and did not list any available products or alternatives. What is a therapeutic equivalent for Hypromellose?

I understand that other products like Refresh (Carboxymethyl cellulose) have a lower water retention rate.

Thanks,
Feny R.

we are curious to know how others communicate medication storage location (stocked in ADC or not) to nursing staff to minimize medication delays, miscommunications, and non-value added work. Are staff able to see within the EMR if an ordered medication is stocked in the ADC? Has anyone been able to add a notification in Cener to signify that a particular mediation is stocked in Pyxis? We would love to hear your approach form other Cerner/Pyxis sites.
Thank you.

Just wondering what sites do to prepare insulin infusions for the ICU? Do the ICU nurses/pharmacists prepare the infusions on the units using a Multidose Vial? If so, would that MDV be used to prepare a drip for more than one patient? Or are infusions prepared by pharmacy?

Hello all,
We are currently reviewing Allergies Listed as "Other" in the patient's chart. Some of these are inappropriately entered when there is a designated allergy, but it is placed under "Other" which ultimately does not alert of any interactions/other clinical decision support. An optimization we are looking into is setting an alert to fire when using the "Other" option. Would love to get other institutions' insight on the allergy documentation process.

Thank you!