I am trying to get a sense for use of medication barcode scanning within the operative setting. Please respond if you utilize this technology within your OR and provide details on workflow and compliance.

Thanks,

Ambra Hannah
Supervisor, Medication Safety
WellStar Health System
Mariettta, GA
ambra.hannah@wellstar.org

Dear Colleagues,

I am collecting some data to further understand the drug library management process and it's impact to you as a pharmacist.

The survey is only 8 questions and will take approximately 2-3 minutes to complete.

If you'd like for me to share the collated data at a future time, please leave your email address & organization within the last question- This is optional.

Thank you!

https://goo.gl/forms/rDcPTPXKSAEekHnL2

Does your institution follow the 2014 ASPEN Parenteral Nutrition Safety Consensus Recommendations and have the hang time for IV fat emulsions be 12 hours? If you prolong the infusion over 24 hours, do you use a new container and tubing every 12 hours (per ASPEN recs), or do you allow 1 bag to infuse continuously with the same administration set for the 24 hours?

Thanks

Lara Ellinger, PharmD, BCPS
Medication Safety and Drug Information Pharmacist
Northwestern Memorial Hospital
(312) 926-3571

Likely not a new topic, so hoping for a good response. . .
What expiration/beyond-use-date is appropriate for plain IV fluids from the manufacturer that are "spiked" on the units/OR (no additional medication is added)? We go round and round with whether 1 hour (immediate use/single use container 797) applies. Your thoughts are appreciated.

We allow 4 open patient charts at a time. Our vendor notified us of a glitch in the system where it will switch to another chart without the user initiating this and may not be aware it happened. Recommendation is to limit to 1 chart until fixed. We are revisiting if we should all multiple charts open to users and I'm curious what other places allow. We have data that shows the multiple open charts can lead to wrong patient errors but we also see that happen with just one open chart.

My EMS team brought to my attention the Fresenius removed the labeling for direct infusion for calcium gluconate. Apparently these were just recently released. How are others handling this label changes - I have noticed Lexicomp updated their recourses to include dilute ( update 3/12/18) but clin pharm is still outdated with old info. Any guidance on how you all are handling this would be great! thanks

Has anyone revisited IV batch preparation using syringes since BD changed the plunger material?

Hello,

We are interested in learning how other sites prepare 5-FU CADD pump home infusions.

Can you share with me in what volume do you prepare these infusions? Also, which pump you use for your 46 hour home infusion of 5-FU and what is you manufacturers allowed pump variance?

Thank you in advance!

I was recently approached by an oncologist with the idea to dispense IV cytarabine for outpatient use via an elastomeric pump (Eclipse). We would dispense the Eclipse balls and have the patient (or caregiver) administer this chemotherapy at home, instead of coming into clinic.

Though there is a lot to think about, I could not find any stability data for cytarabine in this closed system. Are any centers currently practicing this process? Is there any information out there I can use to effectively this process?

Thanks!
Phil

We are trying to determine what to do with premixed IV bags (fluconazole, Oxytocin) from the NIOSH list and Closed system transfer devices (CSTD). Do we take them out of the Pyxis machine, and only dispense after pharmacy adds a CSTD? Do we exempt those meds from CSTD requirement?
The policies from other facilities that I have reviewed are very non-descript…they just say that CTSDs should be utilized to minimize exposure. Maybe they are intentionally written that way to avoid details?
What are you doing for these meds?

Thanks in advance for any feedback!