We have started to get many reports from nursing and anesthesia around issues involving coring of medication vials. So far there isn't a trend with a specific medication, but most reports have involved Pfizer products. Nursing has been using BD blunt tip needles for many years without issue. Reports of coring began about 2-3 weeks ago. Has anyone else experienced recent issues with this? Thanks!

I'm just wondering what other hospitals do for the preparation of allergenic extracts. I would assume the majority of hospitals leave it up to their allergy clinic. If there are any of you that use space in the pharmacy or cleanroom to prepare them, how do you handle them? We currently prepare them in our cleanroom for the allergy clinic but are considering finding alternative space to do. Thank you!

Good morning!
Our pediatric cardiologists are wanting to implement IV prostacyclin therapy and I wanted to see if anyone has a protocol they are willing to share for IV treprostinil or epoprostenol? Bonus points for peds hospitals and double bonus points if you have implemented this using BBraun infusion pumps. Any guidance or lessons learned in the implementation process would be much appreciated! Thank you!
Jordan Anderson, Driscoll Children's Hospital

We have recently encountered a situation where patients are able to purchase keys compatible with the Alaris pumps through eBay or Amazon and bring them into the inpatient setting. While we can work on a process to control purchasing these keys as the replacements for the institution, what measures have you implemented to prevent a patient from using a self-procured key inappropriately?

Apparently Lomotil liquid oral susp is being discontinued. Are facilities crushing the tablets in a CVE or using an alternative product?

https://www.ashp.org/drug-shortages/current-shortages/drug-shortage-deta...

Hi, has anyone encountered issues with nursing units reporting under or over fills for infusion bags that are made to total volume? Specifically for onc infusion bags and/or peds?

Does anyone stock 10unit/10mL or 5unit/5mL insulin syringes in their ADC for nurse to remove and administer for IV push administration? We are a non-24hr pharmacy, so need something safe to provide for after hours. I would love to pre-prepare doses like this instead of having them pull out of a large vial. Any stability information would be very much appreciated. Thank you!!

We are building a new library for our conversion from an end of life Baxter to BBraun Infusomat and I'd like some tips about the use of categories.

Hello,

Anyone using DoseTrac and able to obtain data on hard limit alerts?

BBraun tells us it's not possible since in these instances we had to get out of the library to be able to program the pump.

We are new users of this software and find it hard to believe there is no way to get stats on this.

Thanks.

Serge

Like many institutions, our ED is autoverified. We do limit some orders through a "never autoverify" med list. The question has been raised about benefit of the orders still being autoverified to prevent a delay in administration, but having more orders in the pharmacist queue to review the autoverification. Looking to solicit feedback if anyone utilizes a hybrid approach such as this and how it was received.

Our EHR is Epic.

Thank you!
John Morgan