We have recently remodeled and now have an HD storage room with a powder hood. Does anyone have any policies or SOPs related to the use of the powder hood and the HD storage room (garbing, cleaning, etc,)? If an RPh is walking into the room to check a compounded HD, or remove a compounded IV HD from the HD buffer room pass-through, do you require full garb? If staff are restocking meds in the HD room, do you require full garb?
Would it be reasonable to only require shoe covers and gloves in that room if you are not compounding?

Leuprolide is a Table 1 NIOSH medication that comes in a prepared syringe with an attached needle from the manufacturer. It needs mixing of diluent and powder in the closed syringe. There is some debate at my facility as to whether this is manipulation that needs to be done in a BSC. Thoughts?

For pediatric ICU patients (in a pediatric unit) on continuous infusions who are of an adult weight ---do you continue to use weight based dosing or do you switch to non-weight based (i.e. mg/hour)? At what weight do you convert and is it different for different medications?

If it is different for different medication or you switch to non-weight based do you find that the nurses find this more confusing?

Please let me also know where you work so I can use this information for potential practice change at my new institution.

Thanks.

Good evening,

I was hoping to gain insight on other hospitals/health systems approach to nicardipine infusions, particularly related to concentrations.

If you would share whether your institution has standard peripheral and central line concentrations as well as what those concentrations may be, it would be much appreciated!

Thank you,
Alyssa

some Mannitol vials are kept in warmer, does anyone know how long they are good for in there to keep crystals dissolved? Or do you have rule to keep at RT?

I am curious what specific strategies others are using throughout the medication use process to reduce the risk of errors when bringing new products (secondary to drug shortages) into their organization.

Has anyone created custom auxiliary labeling to give nursing or providers a heads up that the drug they are handling is "new/different"? Is anyone sequestering products temporarily brought in to a specific location or in a lidded storage space?

Love to hear others successes/thoughts! Thanks!

I am curious what specific strategies others are using throughout the medication use process to reduce the risk of errors when bringing new products (secondary to drug shortages) into their organization.

Has anyone created custom auxiliary labeling to give nursing or providers a heads up that the drug they are handling is "new/different"? Is anyone sequestering products temporarily brought in to a specific location or in a lidded storage space?

Love to hear others successes/thoughts! Thanks!

Good day
At Cleveland Clinic Abu Dhabi we are in the process of changing medication event type categories (e.g.: wrong dose, wrong medication, IT error, etc.). Can you please assist us with references and/or what is used in your institutions.
Very much appreciated
Raya_z@hotmail.com

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?