Hello All,

Our hospital has always used an extensive formulary and non-formulary approval process in the past and current. This has resulted in an extraordinarily large selection of medications available for choosing from.

We are moving towards starting an Auto-Sub policy in the hops to improve our inventory management (pyxis space and batch fills)

Would anyone on this discussion board be willing to share their auto sub policy?

Thank You

Hi! Has anyone had experience using the EpiRite syringe as a safety strategy with epinephrine for anaphylaxis? If so, were there any issues with the Luer-tip and attaching the IM needle?

We have also been reviewing the Epinephrine Convenience Kit that comes with a Broselow/color zone syringe & pre-attached needle.

Any information would be appreciated.

Thank you,
Tanya John, PharmD,
Med Safety Coordinator
Mass General Hospital

Does anyone have a great catch program they would be willing to share the details of? Criteria, eligibility, award, etc.? Who all did you include in blessing the program at inception?

Thank you!!

Gina Gayed, PharmD, BCPS, CPPS
Medication Safety Officer
Wellstar Health System
Marietta, GA

Hello, can anyone share protocol information for nicardipine or esmolol IV administration? Specifically, I am looking for maximum dosing in an institutional setting. Much appreciated?

Hi all,

There was some discussion in our pharmacy regarding BUD vs spike time. Let's say we have vancomycin 750 mg IVPB that was compounded with a BUD of 8/13 @0600. If a nurse were to hang it at 8/13 @0559 is that still okay knowing it is an hour infusion? Or

How do your facilities and USP interpret that? If the above scenario holds true, how does one interpret longer infusions (>4h)...nobody goes back and thinks "well it's past the BUD, but what time was it spiked?"

Any feedback is appreciated! Thanks.

Hi All

Good afternoon,
I know others have posted about putting block charting into place, but we are specifically interested how other Epic users are putting this workflow into documentation.
Thanks in advance for your help,
Stacie Ethington MSN, RN-BC
Nebraska Medicine

Hello!
Looking for ideas/suggestions to avoid incorrect compounded IV preparation errors, specifically selection of wrong diluent bag volume. We use the DoseEdge IV workflow system with barcode scanning enabled, however it only triggers an alert if the wrong product is selected and not based on volume.

A) For those who use DoseEdge, have you experienced similar issues? what hard stop mechanisms do you employ to prevent inadvertent preparation using the incorrect volume?

UCHealth is interested in creating a guideline or policy and procedure for the safe prescribing, dispensing, administration and monitoring of oral chemotherapy agents. If anyone has something similar and is willing to share, we would be very appreciative.

Sondra May
Medication Safety Coordinator
sondra.may@uchealth.org

Hey all,