In planning to implement medication reconciliation at Covenant Health facilities in the ambulatory care setting, we are trying gauge what best practice would be for inclusion/exclusion criteria for the full process of medrec in ambulatory clinics and for perioperative clinics. What decision algorithms were used and was supporting literature for the decisions incorporated?

If anyone has any information could they please contact

Jennifer.Wiebe@covenanthealth.ca

Thank you in advance

Hello,

My institution uses TXA for trauma-transfusion, spine/large ortho surgeries, and OB emergencies. Thus far we have limited infusions to our critical care areas within our IV administration guidelines. I am exploring liberalization toward acute care units in some manner. Polling to see if others allow TXA use on non-ICU floors.

Thank you-

John Dempsey, PharmD, MHA
Medication Safety Pharmacist
Harborview Medical Center Pharmacy
Seattle, WA
Box 359885
Phone 206-744-6043

Good afternoon all,

I am reviewing our hospital's use of phenol in the OR, and was wondering if this practice continues at other institutions. If your institution previously used phenol, but is no longer performing this practice, would you be willing to share your journey away from the use of phenol? If your institution currently uses phenol, would you please consider answering the brief survey questions below? This is cross posted between Medication Safety and Clinical Specialists/Scientists forums.

Thank you all for your help and guidance.

Han

We need literature to support repackaging morphine and oxycodone oral concentrate liquid from multidose bottle to standardized oral syringes doses (e.g. 5 mg/0.25 mL). Manufacturer has no repackaging data and USP 795 states 14 days REFRIG BUD for aqueous compounded nonsterile oral preparations. Need information to support extended BUD in oral BD syringes. Thank you.

Jim Z

As per TJC, as of January 2018, pharmacy needs to have a policy addressing pharmacy review of medication overrides. How often are other hospitals are reviewing medications overrides? Is it monthly, quarterly, etc? Are any hospitals that have an override policy willing to share?
Thank you in advance for your response.

Sincerely,
Sudha
--
Sudha Narayanaswamy, PharmD, BCPP, BCGP, DPLA
Senior Vice President, Division of Pharmacy Practice
Acurity, Inc.

Do you limit the locations in which versed is stored in Pyxis/Omnicell?
If so, what is your process for getting it to the floor in a code/RSI situation?

Thank you!

Does anyone have restrictions on warfarin being in an automatic counter (ScriptPro, Kirby) because it is P-listed? Thank you!

Hello,

We are having difficulty obtaining both SWFI and NS vials to use for medication reconstitution.
I am having difficulty coming up with creative solutions and effectively discouraging the use of NS flush syringes for med reconstitution (particularly for some of our hospitals that do not have 797-compliant IV rooms). Would love to hear ideas from others!

What is your timeline for converting to Enfit?
A. Within the next 3 months
B. Within the next 6 months
C. Before the end of 2018
D. Not sure

If you have converted, any tips on a smooth transition?

Thanks,

Karen Dunkelberger RPh, CPPS | Medication Safety Coordinator
PARKVIEW HOSPITAL | PARKVIEW REGIONAL MEDICAL CENTER
11109 Parkview Plaza Drive Fort Wayne | IN 46845
Phone: 260.266.4421 | Cell 260-760-2617

Medication Safety: It’s all about the Patient!!