MSOS Discussion Board

Single Dose Vials

Natalie Kuchik's picture

Forums: 

We have a lot of single dose vials that we reuse during 6 hours window that is allowed per USP 797, since we serve pediatric patients, we usually do not use the whole vial per one patient.

I was wondering how other hospitals store vials in ISO 5 environment, since we might epinephrine vial and dexamethasone that look almost identical. Outside of ISO 5 environment we have more space, so we can segregate epinephrine vial away from dexamethasone. What about narcotics, since they have to be locked? How can we store open vials of narcotics safely in ISO 5 environment?

Single Dose Vials

Natalie Kuchik's picture

Forums: 

We have a lot of single dose vials that we reuse during 6 hours window that is allowed per USP 797, since we serve pediatric patients, we usually do not use the whole vial per one patient.

I was wondering how other hospitals store vials in ISO 5 environment, since we might epinephrine vial and dexamethasone that look almost identical. Outside of ISO 5 environment we have more space, so we can segregate epinephrine vial away from dexamethasone. What about narcotics, since they have to be locked? How can we store open vials of narcotics safely in ISO 5 environment?

Single Dose Vials

Natalie Kuchik's picture

Forums: 

We have a lot of single dose vials that we reuse during 6 hours window that is allowed per USP 797, since we serve pediatric patients, we usually do not use the whole vial per one patient.

I was wondering how other hospitals store vials in ISO 5 environment, since we might epinephrine vial and dexamethasone that look almost identical. Outside of ISO 5 environment we have more space, so we can segregate epinephrine vial away from dexamethasone. What about narcotics, since they have to be locked? How can we store open vials of narcotics safely in ISO 5 environment?

Transgender Patients - Legal/Preferred Naming on medication labels

Tanya John's picture

Forums: 

Hi,
Our institutions were presented with a proposal for medication labels with the ability to put both the legal and preferred name on the label.

Does anyone have any experience with this topic or can share if there are any recommendations out there?

I have found the following so far:
https://www.ashp.org/-/media/assets/policy-guidelines/docs/policy-positi...

Pharmacy resident research project ideas

Nancy Makem's picture

Forums: 

Does anyone have a good research project idea for a resident that is interested in Medication safety?

We are exploring Vit K usage and dosing appropriateness along with warfarin dosing appropriateness and the impact of pharmacist intervention but I would love any ideas for med safety long term research ideas or projects that have had success at your institutions.

Thanks for any help.

Chemotherapy in elastomeric pumps

Donald McKaig's picture

Forums: 

Have a request from our Oncology Clinic to bring in elastomeric pumps for use in delivery of ambulatory chemotherapy infusions (e.g. fluorouracil).

Appreciate if those using these types of devices could provide feedback on any safety issues encountered--or if these have worked well with minimal issues in your facility.

Thanks!

Medication Safety Governance Structure and Monitoring Process

audrea Szabatura's picture

Forums: 

Hi all,

We have been expanding our services to an increasing number of satellite sites across our state. With this, the ability to oversee the medication use process has become increasingly complex and challenging. We are therefore exploring how to expand our medication safety team. I was wondering if you would mind sharing your medication safety governance structure, including reporting structure (pharmacy versus patient safety department), and whether you oversee other medication safety employees, and what types of committees you use to help prioritize safety initiatives.

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