I would like to find out what other institutions are doing regarding the patient weight for inpatients. We have historically based all weight-based doses off of the first clinical weight of a patient stay for inpatients. In areas were this rapidly changed (such as NICU) OR if weight was in error, the pharmacist manually updated the weight. However, this was a carry-over from before electronic EMRs, and does not apply to outpatients or recurring series (such as is seen in Oncology).

For hospitals who prepare emergency tackle boxes (code stroke, post-partum hemorrhage, etc):
1. How do receive used boxes when they are returned to the pharmacy?
2. Do you have a process for cleaning the boxes?
3. What do you do if fluid-filled syringes are found in the box?

I apologize in advance if this has already been asked and I missed it. 1. Is anyone excluding staff members based on waivers for reproductive/pregnancy related risk if it is not applicable to that staff remember? 2. For small facilities (especially those that do not administer antineoplastics) how are you disposing of PPE and needles/vials/tubing. Are you providing bins in each patient room?

We are evaluating our goal for insulin-induced hypoglycemia. As part of the review I would like to gather what other children's hospitals have as their own goals for this metric.

•How do you measure IAH? What is your Num/Denom?
•What have you set as your goal?

Thank you in advance for the information.

Allison Romain-Dika

I am interested to know if anyone has pharmacists programming IV pumps or just verifying that a pump has been programmed correctly. Our ED pharmacists at times are programming pumps during emergent situations (code stroke, trauma) and there is concern from some of the staff that this is 'administering' medications. We are reaching out to our BOP but also wanted to learn of other practices. Thank you for your time.

Carol Labadie
Vidant Medical Center
Greenville NC

My understanding is that State Law dictates whether an RN in ED, PACU, OB has the authority to dispense take-home packs of meds to patients in these areas. I am familiar with the understanding that staff RNs in Colorado can administer medications, and that they are NOT authorized to dispense meds; that only the Care Provider (PCP, ED docs, OB docs, APNs, CNMs, PAs) may hand the take-home meds to the patient.

at 4mg/mL vancomycin appears y site compatible with zosyn-does anyone infuse both routinely as zosyn is 4 hr infusion? will this practice affect vancomycin blood level validity? promoting concurrent administration can optimize rn practice workflow as it's tough to stagger both esp if vanco also q8hrs...any thoughts appreciated.

Background: We are a large government health system that uses ScriptPro dispensing robots in our retail service lines. We are reviewing compliance with placing hazardous medications in these machines.
Questions:
(1) Do you currently place hazardous medications (e.g. phenytoin, spironolactone, fluconazole, carbamazepine, capecitabine, azathioprine, zonisamide) in your ScriptPro robots?

Hi! Wondering what your process is for dispensing of nitroglycerin from an automated dispensing cabinet. We want to avoid dispensing 1 bottle of 25 tablets, but are concerned about the removal process, including labeling, barcode scanning, light-sensitive drug, etc.

Thanks so much!

When we have TPN running at a rate that would require 2 standard TPN bags, we hang Bag 1 of 2 (Clinimix containing multivitamins and trace elements) @ 2000 today, run until complete, and then hang Bag 2 of 2 (plain Clinimix) tomorrow. How do you all deliver Bag 2 of 2, PLAIN Clinimix, if, for example, it is not due until 1400 or 1600 the next day? Do you send BOTH Bag 1 of 2 and Bag 2 of 2 together, or do you send Bag 2 of 2 with batch medications the next day?

Thanks so much!!