We discovered a concerning nursing flushing practice that is occurring in our clinical research unit. After an IV investigational medication has been administered, the nurses are drawing up 30 mL of fluid (usually 0.9% NS) and injecting it into the empty bag. They then run the 30 mL at the infusion rate the drug was run at. They do this to ensure the entire dose of investigational drug is delivered, and state this is common practice across the country. We have safety, sterility, and documentation concerns and are wondering if this is actually done elsewhere.

Thanks,

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?

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?

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?

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...

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.

Dear all,

I would like to share with you our organization’s “Just and Fair Culture” video which was just released today for general public use.

Feel free to use it for educational purposes within/outside your organization.

https://www.youtube.com/watch?v=VJ0UtU58d9M

Rabih

What workflows do you have in place at your organization to ensure that patients transferring in from outside hospitals (on pressors, heparin, insulin, etc.) are being quickly and safely converted to your facility medications/pumps? Thanks in advance.

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!

Does anyone have a meds restricted by location policy that they're willing to share?

Thanks!
Elizabeth Rebo