Hi , we are a small hospital, and pharmacy is only open 5.5 days per week, like to ask if anyone can share how you have second layer of cheecking foe after hour for new high alert orders when pharmacy closes.

Auditor is asking.
Thanks for sharing

Good morning!

Our L&D group recently requested that we stock 10 or 20 mL vials of magnesium sulfate 50% on override in their ADC for the treatment of eclamptic seizures. This would be used for IM injection (5 gm in each buttock) if the patient does not have IV access. A few questions for the group:

1. Do you stock magnesium sulfate 50% vials in an ADC for the treatment eclamptic seizures? If yes, what vial size?

2. Do you have this medication on override?

Hi all -
How does your institution stock epinephrine and the needed needles/syringes in emergency carts for IM use for anaphylaxis?
Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine

I am working on cleaning up our processes for our new IV cleanrooms. Could someone tell me what your processes are for the NIOSH group 2 and 3 rated hazardous drugs? Do you use the Hazardous cleanroom to compound this group of medications? Specifically phenytoin, fosphenytoin and ganciclovir(group 2) and pamidronate, oxytocin, valproate, voriconazole, zometa(group 3 reproductive risk only).

Good morning,

Hello,

we are considering controlled substance lock boxes. Can anyone share how they manage the cleaning, redistribution, and storage of these boxes?

Thanks
Dale

Sorry, the links didn't go through... let's try again:

Colleagues: There is an open position at AHRQ in their Patient Safety Program.

They’ve asked me to post the following:

The Agency for Healthcare Research and Quality’s (AHRQ) Division of General Patient Safety has an exciting opportunity to serve as a Health Scientist Administrator. AHRQ is seeking candidates from the general public or Federal workforce who will be responsible for supporting a portfolio of research to improve the safe use of medications. Deadline for applications is March 22, 2021.

Colleagues: There is an open position at AHRQ in their Patient Safety Program.

They’ve asked me to post the following:

The Agency for Healthcare Research and Quality’s (AHRQ) Division of General Patient Safety has an exciting opportunity to serve as a Health Scientist Administrator. AHRQ is seeking candidates from the general public or Federal workforce who will be responsible for supporting a portfolio of research to improve the safe use of medications. Deadline for applications is March 22, 2021.

Request #: 339634

HRSA B/O: AHRQ / CQUIPS

We will soon have a direct connection between our EHR (Epic) and our ExactaMix TPN compounder. This eliminates having to transcribe TPN orders into Abacus, which is a big step to reduce errors and improve efficiency! I am now rethinking all of the double checks we have done historically with TPNs, and wondering if they are still necessary. Obviously, there is no longer a need for a 2nd RPh to check the transcription step since it doesn't exist. I am now wondering if there is still a need for 2 RNs to confirm the amounts of each ingredient in the TPN label.

Hi All,

For those who have BCMA systems that track max cumulative dosing for PRN meds, what medications do you include?

Examples:
- acetaminophen PRN - alerting the nurse if dose about to be administered exceeds 4,000 mg/ 24 hours
- sumatriptan oral PRN - alerting the nurse if dose about to be administered exceeds 200 mg/ 24 hours

Also interested in any thoughts in general on the subject i.e. barriers to implementation or why your organization decided not to pursue this.

Thank you!