Is anyone experiencing a specific lot# of Flulaval that is not barcode scanning properly?

Hi all -
If anyone is utilizing the ICU Medical Rio drug reconstitution transfer device, I would love to hear about your experience.
Thanks -
Maria Cumpston, PharmD, CPPS
WVU Hospitals
Morgantown Wv
Cumpstonm@wvumedicine.org

Polling question. Do you require indications on new medication prescriptions through your EHR?

1) Yes, indications are required on ALL new prescriptions.
2) Yes, indications are required on SOME new prescriptions, if so, please expand.
3) No, we do not require indications on any new prescriptions.

Our organization is a 2, we require indications on all new med prescriptions from the inpatient setting and on any anticoagulation orders in the ambulatory setting. Hoping to pursue expanding this to require on ALL new prescriptions.

If you have fosphenytoin in your IV and syringe pump drug libraries, how is it built since the units are mg PE? Our Plum360 pumps and Medfusion 4000 syringe pumps (for NICU drips) do not have PE as a unit option, but Meditech has fosphenytoin doses in PE, so having the units in mg on the pump can cause confusion with nursing.

Testosterone cypionate injection comes in both single-dose vials and multi-dose vials. The packaging label states the single-dose vial is intended for a single dose.

Questions:
-For community/outpatient, do your pharmacies dispense the 1 ml single-dose vials to be used for multiple dosing?
-For hospital/clinic, does your hospital/clinic administer multiple doses from single vials?
-What strategies are being used, if any, to reduce costs and waste associated with using multiple single-dose vials?

Is ampicillin on your override medication list? if not, how does your institution ensure that there is no delay in administration for GBS+ patients? is it part of an admissions order set?

Hi
Our NICU wants to be able to order sodium chloride 0.225% IV PRN for replacement of high output (urine output or gastric stump output). They would like to reserve it for patients with hypernatremia (+/- hyperglycemia. We are hesitant given how hypotonic the fluid is and potential safety concerns.

Does anyone allow this to be ordered, and if so what safety parameters have you implemented to prevent it from getting run alone/continuously? Would appreciate any other feedback to help us make a smart and safe decision!

Thanks
Lindsey

We recently implemented Omnicell IVX workflow at our site. I would like to create a QA plan with some of the data Omnicell can provide. My question: Has anyone done this already at a site? If so, are you will to share? :)

I have some ideas around a focus on verification summaries and near miss data. Ready, set, go!

Has anyone else been experiencing significantly decreased heparin flush availability (all sizes/concentrations)?

We are investigating more and exploring options.

While ASHP has a great resource, I am curious to learn what other strategies are being used/discussed and if compounding is occurring.

https://www.ashp.org/-/media/assets/drug-shortages/docs/drug-shortages-a...

Thanks!

We are looking into changing our enteral pumps. Our NICU uses the ABC pump and PICU/Ped use the medfusion pump. We also use medfusion pump for IV syringe medications. We are in the process of differentiating an enteral feed medfusion pump vs IV med medfusion pump by using an orange faceplate sticker for the enteral pumps. Administration is still concerned that a nurse can administer an IV med using dose/time and would like to use pumps from different manufacturers.
What pumps do you use for enteral feeds and IV syringe medications?