Since misoprostol is considered a hazardous drug we currently cut the 100 mcg tablet into ¼ a tab (25 mcg) for our L&D areas. Our pharmacy staff has expressed concerns and issues cutting these tablets since they tend to break and crumble, making it difficult to consistently get an accurate ¼ tablet. I am interested to hear what other organizations are doing.

Do you cut misoprostol in pharmacy or do nurses cut on the floor?

Hi!We are looking for a way to categorize risks in the off-label use of medications. Does your institution have this categorization? Are there available references regarding this?

Our L&D department is requesting Magnesium Sulfate 50% injection 5gm/10ml syringes available on override in Omnicell for emergent use in patients presenting with an eclamptic seizure without IV access. Historically, we only provide the IVPB since we avoid stocking concentrated electrolytes in patient care areas. Does anyone stock magnesium sulfate 5 gram syringes in the L&D department? What safety precautions do you have in place?

I'm working on implementing unit-based, pharmacist-led, medication safety walking rounds at my institution.

Does anyone have example documents of your own institutions's safety rounds?

Hello,
Does anyone verify medications when they are discontinued? Thanks.

I have had a request from our operational pharmacy leaders to report medication event rate as a KPI. While our entire health care system reports serious safety event rates for all events, we have not previously reported a medication event rate. I'm struggling with creating a meaningful numerator and denominator....I'm using total events reported for numerator and have used various denominators such as APD and total dispenses calculating the medication event rate per 10,000 APD or 10,000 dispenses, either as monthly rate or as a 12 month rolling rate.

A nurse requesting potassium w/ lidocaine is a rare occurrence and we have discouraged it's routine use. We have not disallowed it's use.

I'm curious as to what other institutions do for this. Do you restrict it to only certain patients? Do you allow it at all?

Hello,

Hello, my name is Soojin Jun and I am a pharmacist and an ambassador for Patient Safety Movement Foundation. World Patient Safety Day is 9/17/20 and I am looking for organizations that will light up their buildings in orange along with others in the world.

The virtual event is available for RSVP and it is free:
https://patientsafetymovement.org/patient-safety-events/uniteforsafecare...

I was wondering what work has been done by anyone in this group has done work with override reasons especially in regard to ISMP guidelines for ADCs?