We are building out our Alaris drug library to have 6 CCAs: Adult ICU, Med/Surg, Pediatrics, Neonatal, Oncology, Obstetrics.

I have 2 questions:
1. We have a "step down" unit that uses many of the same drugs as the adult ICU, but with lower upper limits. They have requested we create a different CCA for them, so they can maintain their tighter upper limits (e.g., dopamine 10 mcg/kg/min for "step down" vs 30 mcg/kg/min for ICU). Has anyone run into this issue? I don't see any CCAs with that name, so it sounds like others must've solved this without creating a new CCA.

Hello!

For those of you at hospitals that serve pediatric patients, how do you interpret the NPSG.15.01.01 EP 7 which states "For pediatric patients, prefilled syringe products should only be used if specifically designed for children"? We're curious how to address this EP with enoxaparin syringes, because (as the EP also states), there are safety concerns with using the vial.

Thanks,
Courtney Sutton, PharmD, BCPPS

Hello All,

Would you please share how your organization is handling the following:

- Do you have antiemetics or pain medications on your override list?
- What types of overrides are you reviewing?
- Are you conducting override reviews for non-profiled ADCs?

Thank you,
Ashley Warnock

Hi all

We have a Med Safety & Regulatory Senior Clinical Pharmacist position available. If interested please email me at

G.Prouty@RUHealth.org

Greg Prouty, Pharm.D.
Executive Director, Clinical,Ancillary,PharmacyServices
Riverside University Health system
Moreno Valley, California 92555

I am re-evaluating our current process of medication pass auditing. We are currently using a modified version of the CalNOC Medication Accuracy tool, but it is challenging to use when a patient is receiving multiple medications.

What tools are you utilizing for med pass observations and audits?

What are the key steps for the anesthesia providers to accurately log, charge, track and capture waste when using the pyxis or a similar dispensing system in the operating rooms in your facility? An anesthesiologist here is requesting more real-time accountability rather than being asked by pharmancy days later to account for wastage.

What is the best practice when dispensing oral syringes (795) to patient floors?

a)Stocked Standard Concentration Dose/Volume (Ferrous Sulfate 7.5 mg/0.5 ml's

B) Dose rounding (130 mg dose rounded to 160 mg)

b) Patient specific dose/volume (exact dose and volume)

c) Other

Hello,

Asking if anyone is providing labels in their RSI kits? and if so preprinted or blank?

Thanks,
Olga Woloszczuk

Hi Guys,
Does anyone here have experience with giving talc along with Vanco 500 mg and Lidocaine 2%-50 mg ? I am not finding any data online but I have a feeling possibly this is a standard practice at other institutions.
Any recipes or help would be greatly appreciated.
Thanks,
Nancy

How are institutions handling ISMP Best Practice #7 regarding storage of neuromuscular blockers in the following locations?
1. Anesthesia ADM
2. Non technology stock carts - example: locked airway carts
3. Code carts

Thanks -
Maria Cumpston, PharmD, CPPS
Medication Safety Officer
WVU Medicine