Hello all,

I want to inquire about becoming a certified medication safety officer (CMSO). In your opinion, what programs are valuable and will enhance my ability to succesfully become a CMSO.

Thank you!

I see this was discussed about 2 years ago, but I am wondering if this is a continuing issue for other facilities. Has anyone addressed the issue of delayed/omitted doses of medications due to nurses forgetting to activate or reconstitute duplex bags? We have had several recent errors in which an antibiotic dose was delayed or missed due to the RN forgetting to activate the bag. We have large red auxiliary labels that indicate activation is needed and have sent out education, but these errors have led us to re-evaluate. We currently use the duplex bags for meropenem and ceftriaxone.

I am relatively new to a medication safety pharmacist role at my facility. Currently it is only 50% of my FTE. Looking for feedback on day to day work, initiatives, committees that others are participating in while in this role. I have already been involved for several years in error reporting process and follow ups, med safety workgroups, IT workgroups, opiod stewardship, education initiatives, pyxis, cleanroom initiatives, etc. Just looking for any other ideas that others would like to share. Any feedback is appreciated! Thanks!

I see this was discussed about 2 years ago, but I am wondering if this is a continuing issue for other facilities. Has anyone addressed the issue of delayed/omitted doses of medications due to nurses forgetting to activate or reconstitute duplex bags? We have had several recent errors in which an antibiotic dose was delayed or missed due to the RN forgetting to activate the bag. We have large red auxiliary labels that indicate activation is needed and have sent out education, but these errors have led us to re-evaluate. We currently use the duplex bags for meropenem and ceftriaxone.

Wondering if any institutions have a policy or procedure for assessing the continuation of home oral chemotherapy agents when admitted from home? We have seen a couple instances of patients being continued on their home chemotherapy, when the likely reason for admission were adverse effects of their oral chemotherapy that were not immediately recognized on admission. Does anyone hold oral chemotherapy orders to be assessed the next day by an oncologist? Open to other policies or procedures, thoughts or suggestions as well. Thanks.

Hello,
Does anyone put Kcentra vials in their ADCs for administration via IV push? If so, how do you capture the exact number of units administered for billing?

Thank you,
Nicole Lloyd

Wondering if anyone has a policy or procedure in place to assess for appropriateness of continuing oral chemotherapy when admitted from home? We have seen a couple instances of patients being admitted for adverse effects from their home medication and the offending medication is being continued upon admission. Does anyone hold the medication upon admission until a oncology specialist or oncologist can review prior to continuing? Other procedures?

Jenni Shahan, PharmD, BCPPS
Medication Safety Specialist
WVUMedicine

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 EHR systems updated. Thanks!

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 EHR systems updated. 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!