Wondering if any facilities have a current policy on handling oral chemotherapy agents when patients are admitted from home for non-oncology indications. Does anyone hold these medications until an oncologist determines the appropriateness of continuing the medication? We have had a couple instances where the home medication was continued, but the reason for admission was an adverse effect of their oral chemotherapy agent. Anyone else have a process/workflow in place they would be willing to share?
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer

Hi Everyone,

There are a lot of different practices I'm seeing out there for management of insulin drip adsorption.

1. Let it dwell?

2. 20 ML priming flush?

3. No safeguard as it's being used with a carefully monitored titration protocol?

4. Other ideas?

We are currently exploring the idea of a flush, but are curious to hear from others.

Thanks,
Zach

Good Afternoon,

We are in the process of review/revision of our syringe pump drug library, specific for OR. Would anyone be willing to share their library?

Thank you.

With the increase in medications given EUA status for COVID, what is your process for receiving, monitoring, and communicating EUA updates and action items to involved staff? including regularly checking Fact Sheets and keeping the EHR systems updated. Thank you!

Sharing the survey results for this poll. "Our organization is re-evaluating our process around defining dosing weight in the electronic medical record. I would appreciate your response to this very brief poll (requires 1-2 minutes to complete). Responses will be shared."

https://forms.gle/DHEF29CxboFztKxg7

Hi All,

Following the ISMP Safety Alert from November 4, 2021, our institution is assessing our process for hypertonic sodium chloride solutions. We do allow for sodium chloride 23.4% vials to be stocked in secure cubies in the NeuroICU with a blind count and cannot be overridden.

We are curious regarding the differentiation of "hypertonic" and "concentrated" for sodium chloride 3% and sodium chloride 23.4% respectively. Initial feedback was that "concentrated" isn't typically associated with sodium chloride 23.4% and could cause confusion.

For those sites that utilize formaldehyde for OR cases (urology, surgery oncology) - can you share where you procure the product or any words of wisdom?
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

Hello everyone,

I would like to have your valuable inputs on;

1) How to dispose the expired vials of Remdesivir Injections ?

2) How to dispose Covid vaccine vials?

Hello!
I was recently interested in improving our process of pulling expired medications from our inventory and was wondering what solutions other institutions/pharmacies have been instigating to help with this? I would greatly appreciate any suggestions/feedback! Thank you.

Hi,
We recently got a request from our pediatric acute care nurses to add pediatric peritoneal dialysis fluids to our EMR dual-signoff list. They feel it is infrequent, the cycler is unfamiliar to them, and it is operates outside of pump/EMR interoperability. We are also trying to limit our required dual-signoff meds.

Do any of your Children's Hospitals have this process associated with dual-signoff, or have had frequent errors associated with it?

Thank you,
Kara Thornton
UVA Health