For those of you who also have retail pharmacies in your scope, I am interested to learn what your retail pharmacists use to visually verify the contents of a prescription. CVS, for example, has a patented visual verification pharmacy tray. This is great design; it offers a magnifying panel and deep tray to empty the contents of the prescription bottle for visual verification. Unfortunately, we are not easily identifying a company that offers this for us to purchase for use in our retail pharmacies. What equipment has worked well in your retail pharmacies?

Hi everyone,
I'm wondering if any of you have done/are aware of a detailed review on the PD of crushed nifedipine XL.

Hey all

Though the shortage has resolved, when Alteplase was on national shortage, did any of your institutions create any alterative protocols with other products, like Tenectaplase?

Thanks
Jameika Stuckey

We are in the process of upgrading our Anesthesia infusion pumps and was asked to get a survey of how many hospitals use:
1. Anesthesia smart pumps with drug libraries vs. 2. Anesthesia pumps without drug libraries
Would you please indicate 1 or 2 for your hospital?

Thanks,
Emil N Sidawy, PharmD
Adventist HealthCare

Are inhalers dispensed from pharmacy at your facility or loaded in the ADC (we use Pyxis)? If dispensed from pharmacy, how do you deal with changes in dose? We currently only load albuterol inhalers in the ED Pyxis stations, but recently, we came across the issue of when a dose is changed, we do not dispense another inhaler nor routinely send a new label. This applies to ICS as well. Nurses scan the medication barcode directly, so the actual dose given is on the MAR.

-Melody Sun, CHOC Children's

Good morning,

Thank you in advance for your feedback.

Have you been able to implement amphadase for the use of subcutaneous hydration for pediatrics?

Most of the info appears to be targeted towards Hylenex use for this indication.

We are working towards getting all of our units to a BCMA goal of 95% for pt and med scanning and one idea that we wanted to try was getting the patient involved as well. I am curious if anyone else has done any work in this regards? Our first thought was to start with messaging in the pt rooms along the line of signs that say "did your nurse scan you meds today?"

Appreciate any comments on sites that did implement something similar.

Does anyone store alteplase in ADC in ICU for PE?

Hi all,

Wondering if anyone else has come across this issue and/or what your policies are:

Turns out our infusion nurses are often running IVIG concurrently with IV fluids for "patient comfort/minimizing side effects." This is definitely not done on our inpatient side (we would simply decrease the infusion rate). We mostly use Gammagard liquid and Privigen, and neither one has information on concurrent IV fluid administration or compatibility information.

Leapfrog has a proposal to expand their reporting requirement of BCMA to procedural areas. In giving this some serious thought, a number of challenges become apparent and I'd like some feedback from the MSOS community to better understand if these are specific or general challenges.

There's no question regarding the benefit of expansion of BCMA into the procedural areas - and it is largely implemented in our facilities. The true challenge comes with reporting BCMA activity, and that strikes at the heart of Leapfrog's query: should reporting be expanded to include these areas?