I recently started a position in long term/post-acute care that belongs to a healthcare system.

My question is- for those who work in long term care or post-acute care, what are the main top medication safety issues that you have observed?

Thanks for your help.

WE prepared the injectables in Vertical Laminar Flow Hood while the fan was OFF We noticed after preparation is done What the proper action should be taken in above case i will be thankful for your advice and assistance

Greetings,
Our institution has recently had several near-miss events related to pediatric EPINEPHrine products in Pyxis.

Current we stock:
•EPINEPHrine 0.1mg/1mL (10 mL) syringe
•EPINEPHrine 10 mcg/1mL (10 mL) syringe
•EPINEPHrine 1:1000 1mg/1mL (1 mL)

I received a question recently from a pharmacist regarding how to address the use of a patient own med when we are unable to obtain it from another source and the only way the patient has it available is in a multi-med pack, for example Pill-Pack by Amazon. Most of our system policies state we only use home meds when we are unable to obtain them from another source and the meds are available in the dispensing pharmacies packaging. In this case the med is in the dispensing pharmacies packaging but unfortunately so are the other meds that we can supply.

For those institutions that state that a central line is preferred (or required) for administration of certain drugs, what is the max duration you allow those drugs to run via peripheral line if obtaining a central line immediately is not feasible? If you have a list can you please share?

Are you aware of a single-dose, or a one-day regimen for dexrazoxane used for the treatment of anthracycline extravasation? If so, could you please share your regimen/reference?

FDA-approved dosing is for a three-day regimen (1000 mg/m2 on days 1 and 2 infused over 1-2 hours, and 500 mg/m2 on day 3).

Thank you.

We recently implemented IV smart pumps with a provincial drug library. We have several patients on home TPN, for whom we've also ordered new pumps. I'm just wondering for any sites who use IV smart pumps with drug libraries, do you also provide a drug library for your home TPN patients, or do you have them continue to manually program their pumps volumetrically (mL/h)? We're thinking of creating a separate smaller library specific to the home TPN patients.

Hello,
Does anyone have any guidelines or standards that discusses time outs for the ADC s? For example, currently if the drawer is open for more than 1 min 30 sec an alert shows up to close the drawer and signs the person out of the ADC. My question is what times frames have been deemed appropriate? Our pharm techs are asking to have that time frame extended because they are doing legitimate outdates in the drawer, however I am concerned nurses could leave it the drawer open accidentally and someone unauthorized could get access. Thank you.

Good Morning,
We are having quite a discussion about how to build scopolamine patch whose outer wrapping information was recently changed by manufacturers to depict, more accurately, how much drug gets delivered in 72 hours (or how they put it in 3 days).
Any institutions made the change in their CPOE yet? Curious how you handled it.
Did you leave the build as is and put a note in admin instructions " each patch delivers 1 mG/72 hours"
Or, you completely rebuilt CPOE generic item to reflect packaging change?
Thanks,
Marina.

When a new order is written for an existing medication (i.e. changing the dose or changing the frequency) who is responsible for making sure the timing of the new order goes to the MAR at the correct time based on the last dose given? Is this the responsibility of the prescriber? the verifying pharmacist? or the RN utilizing the retiming option?

Thanks,

Randi