For those who receive error reports from both inpatient and outpatient/retail settings, and/or working with State BOPs or PSOs on error report databases, what classification do you use for event TYPE?

The commonly used classifications seem to be tailored to certain practice settings but we are looking for a single solution that would capture event types from all settings, wondering what others are doing and share pros/cons to your method.

Hey all,

I have another quick question that I wanted to run by the group. For those who have Myxredlin on their formulary, how do you handle bags that have been removed from the carton and refrigerator but may not have been used? How are you working with nursing to prevent waste?

Thanks in advance!
Jameika

Good afternoon group! This may be more applicable to you who have a significant pediatric population, but I'm interested in everyone's thoughts.

How many of you are using amber syringes for your oral doses at your facility?

Do you require their use only for repacked items that are going to be stored for a period of time, or for all doses dispensed?

What feedback have you received regarding ability to determine product color or detect air bubbles?

Thanks,

Kevin

Hello Colleagues,

We just got cited for something so hoping I can get some benchmark data from all of you.

Does anyone have in policy, the time allowed for documentation on the MAR and waste in the ADM of a controlled substance once removed from the automated dispensing cabinet.

I've heard some folks allow nursing up to an hour to get their documentation and waste completed once they remove a CS from the automated dispensing machine.

Hi,
Per our med administration policy, medications are prepared one patient at a time. I see that this has been discussed in this forum in the past, but has anyone developed a med pass workflow to facilitate nursing units with a 1:6 ratio?

We use Pyxis and it creates a bottleneck on our 1:6 inpatient psych unit that follows unit-specific standard administration times.

Thanks and appreciate any thoughts/feedback.

Hi all,
Does anyone use a specific metric for ADC stockouts, and if so, what was the source of the benchmark? Thanks for any info.

Hello all,

I was going through postings to help us with an issue but couldn't find anything fairly recent. We are looking to update our current (and outdated) workflow to handle overflow medications that do not fit in ADC. These medications are the ones rarely used. We are unable to put every single thing in our ADCs and for those items like that, that are controlled substances, we have an alternative workflow for nurses.

Hello!

Question for the group:

Does your Pharmacy department stock any and all medications for your organization? (including IV fluids)

Does Supply Chain provide or stock any medications across your organization? And if yes... which medications or fluids do they have oversight of?

Thanks!
Emily

We use EPIC. Our IV fluids are floorstock on the unit (outside of the ADC). Since barcode scanning will alert the RN if the wrong fluid type is scanned but NOT if the wrong volume has been selected, we would like to establish system criteria/algorithm for determining if a medication can safely be stocked in the ADC for bedside assembly. If any of you have already have done this, would you be able to share your algorithm or criteria? Thank you in advance for your help.

Laura

My Hospital system recently implemented AUC:MIC dosing and monitoring for vancomycin. We are running into issues around RNs running vanco infusions over longer durations due to concerns for extravasation in certain patients. RNs are not always communicating the patients that are receiving longer than prescribed infusions and the peak blood draws are coming back elevated in some cases as a result. I was wondering if anyone else has been running into this issue and what strategies you have used to increase compliance/accuracy of trough and peak vanco levels after transitioning to AUC:MIC?