To add on to the previous forum topic, please provide
feedback on how children's hospitals are handling this situation as the IV insulin luer-compatible syringe is not able to measure small doses that could be needed (i.e. 0.4 units of insulin).

Please comment on your process for both inpatient areas with
24hr pharmacy access and for hospitals/facilities with campuses that have limited pharmacy hours.

Jenn

I'm interested in receiving current practice information on preparation of regular insulin for IV administration for hyperkalemia for adult hospitals. Are you allowing RNs to draw this up and administer IV or do these syringes come from the pharmacy patient specific?

Thank you for your insight.

I am curious to know how other institution handle group 2 hazardous drugs.
For example IV Cellcept, the package insert makes no note of handing as a chemo/hazardous but NIOSH would have you double chemo glove, gown, prepare in BSC, RN to wear gloves and gown as well. Also included in this group 2 is IV phenytoin. Are any institutions using this level of precaution for phenytoin ?
Thanks for any input.

Hi all,

Would anyone be willing to share their pediatric procedural sedation order set? Do you ever use propofol drips for more difficult cases to avoid the need for frequent rebolusing given pediatric kinetics?

Thank you so much.

Gina Gayed

For those organizations using Cerner for EMR, do you have a process to balance quality (meds placed on MAR with correct time and proxy status or capturing the charge for meds administered) and efficiency in the setting of Code Blue? Currently, our organization charts on paper for codes but the meds are not being captured consistently for charging and they are not placed on MAR. Curious to know how others are handling this.
Thank you
Marilyn Hargett

Hello,
I have a first year pharmacy resident starting this summer who is very excited about med safety and I would love to have a lot of projects for her to work on that would be educational and also informative for the hospital and that would really build her residency portfolio. If any of you are willing to share things you have done with you residents/ pharmacy students/ etc. I would greatly appreciate it.
Thanks,
Nancy

Hi All, Please consider taking the survey from one of our residents regarding Non-Formulary Medications

We are in the process of reviewing our non-formulary approval protocol in hopes of developing some new strategies to help tighten up our usage.

-Could anyone share their non-formulary approval protocol? Is this working?
-If recent changes have been made, which ones have had the greatest impact on decreasing non-formulary usage?
-What barriers, if any, do you encounter with limiting the utilization of non-formulary agents?

we are pediatric hospital, and sometimes we get patients who require intermittent doses of paralyzing agents. Do you store powder vials in Omnicell for a nurse to retrieve it and reconstitute and administer on the floor? Do you make them in the pharmacy and send them to the floor?
Also, for neonates, it has short stability data. Would you send vials from pharmacy to the floor, for nurses to reconstitute and administer?

Thank you!

Hello All,

I am program chair for the upcoming Safety and Quality Pearls session at the ASHP Midyear meeting in December. Pearls are 5 minute presentations on a practical idea, intervention or concept that has improved the quality or safety of care. Each topic should be interesting and not necessarily common knowledge. Pearls are designed to be based on a presenter’s work experience rather than a review of literature.

These sessions are a lot of fun and are a great way to share knowledge and network. Please consider submitting a brief proposal by **May 11th**

Good morning!
Does anyone have a guideline/policy for administration of medication via EVD? We are looking to standardize our practice here and are looking for some guidance - in particular with regards to filtering

1) Do you filter all medications that will be given via EVD? If not, how do you determine which meds are ok to be filtered?
2) Do you provide a filtered preservative-free saline flush?
3) What BUD do you give these medications?
Thank you!