Good morning all,

As most of all of us are, we are experiencing shortage in sodium chloride 23.4% 30mL vials. we currently have 100 mL and 200 mLs vials. I am curious knowing how you guys dispense the 23.4% saline in your facility? Do you have it as vials in ADMs? or you send patient specific doses?

Does nurses draw up the medication on unit? how do you ensure that the remaining is wasted and not lying in the med room or their pockets?

Thank you in advance for all your help.

Mohamed

Good morning all,

As most of all of us are, we are experiencing shortage in sodium chloride 23.4% 30mL vials. we currently have 100 mL and 200 mLs vials. I am curious knowing how you guys dispense the 23.4% saline in your facility? Do you have it as vials in ADMs? or you send patient specific doses?

Does nurses draw up the medication on unit? how do you ensure that the remaining is wasted and not lying in the med room or their pockets?

Thank you in advance for all your help.

Mohamed

Good afternoon all,
Just trying to see what other institutions were able to "craft" for "bolus from the bag" administration documentation with BCMA. We have Sunrise CPOE, so if you have a process you are willing to share, I would greatly appreciate.
Thank you.
Marina.

Good Morning,

We recently had a significant error where a RN attempted to dilute an IV push medication with sodium chloride but inadvertently grabbed a vial of lidocaine that was mixed in with the sodium chloride. Unfortunately this error made it to the patient. The medication ordered does require diluting prior to administration by IV push.

Does anyone require the scanning of both the IV push medication and the diluent used?

Hello all.

I posed some HD questions to ASHP's medication safety list serve and have not received a whole lot of feedback. I am going to try this group since I am at a stopping point for our HD policy roll out until I have a better grasp on how to handle one topic in particular... the handling of HDs by personnel who are pregnant or trying to conceive.

Looking at the info provided by Lilly:

Preparation and Administration
• The 700 mg dose MUST BE prepared using 0.9% sodium chloride.
• Preparation of 700 mg dose of bamlanivimab for IV infusion*
• Administration of a dose of 700 mg of bamlanivimab in an IV infusion*
• Bamlanivimab solution for infusion should be prepared by a qualified health care professional using aseptic technique.

Good morning all -

We are exploring removing sulfonylureas off our formulary secondary to the risk for adverse effects. Reaching out to see if others have proceeded in this direction and, if so, what steps were taken to ensure policy was followed, non-formulary use was still safeguarded, and preventing hyperglycemia.

Thanks,

Amaris

I am a pharmacist in Thailand. Currently Thailand does not have a dedicated position focused on medication safety and I am interested in creating and setting up a Medication safety officer position in my country. Since we are starting from scratch, I'd like to ask your advice on resources that describe competencies for Medication safety officers in the United States. Any advice or recommendations would be greatly appreciated.

Thank you in advance for your help. I look forward to hearing from you.

Hello,
I am looking at revising our process to transfer patient specific medications during transfer in-between units. Does anyone have any standard work or job aids to that effect? Any help would be appreciated.

Hello all,

My institution is working to change our latex precaution policy with regard to medication preparation. Currently, for patients with Type 1 allergies to latex, we remove any latex containing caps from medication vials before drawing up the parenteral medication. We plan to move to a single-stick/single-entry policy that would allow nursing and pharmacy staff to enter a vial once, regardless of latex content.

For those institutions that follow a single-stick policy: