This may have been discussed before recently...but does anyone have a different title other than Medication Safety Officer/Medication Safety pharmacist? Assuming you do Med Safety of course...

Anyone else out there coordinate both drug use policy/P&T AND med safety? What's your title?

Thanks!
Jennifer

To clarify, carrier fluids are used for connecting secondary medication infusions that cannot run with maintenance or TPN fluids. For Carrier fluids, I'd like to know if you have protocols, standing orders or policy.

Thank you

In preparing for further work on the ENFit feeding tube connector situation described in our April 9, 2015 issue (http://www.ismp.org/newsletters/acutecare/showarticle.aspx?id=105), I am trying to put together a list of oral liquid medication doses where the volume is 2 mL or less. I am mainly interested in doses used for neonates but also would appreciate doses for infants and children and even adults. We would really appreciate it if you or your pharmacy technicians could help us with a list.

We have had some recent errors with non-formulary medications. Wondered what others are doing with these meds. Has anyone considered adding them the their "high risk medication list" or have any creative ideas for managing them.

Does anyone currently use an oral dosing cup with only mL markings?
If so, please let us know the manufacturer.
Thanks
Sue

I just finished attending the USP 800 presentation at the ASHP Summer mtg. It was a great review of chemo handling, but I wanted to hear more about handling non-antineoplastic hazardous drugs. Guidelines for handling chemo are pretty straightforward and staff are on board. It's the non-chemo (spironolactone, carbamazepine, oxytocin) that is causing confusion and frustration. The speakers said to do an "Assessment of Risk", then you can handle non-chemo differently...I am not a toxicologist and do not feel that I have the expertise (or liability insurance!) to make that kind of call.

Hello,

Our maternal-fetal medicine group occasionally does intrauterine procedures including PUBS and intrauterine fetal transfusion. To facilitate cannulating the umbilical cord (obviously a high risk procedure) they require vecuronium to paralyze the fetus. We are trying to standardize how we dispense vecuronium for these procedures since these cases are so high risk and cause so much anxiety for both the pharmacists and physicians.

Do any other institutions perform these procedures? If so would you be willing to share your dispense process?

We have had some errors with non-Formulary medications. Has anyone classified these agents as high risk? We scan the non-Formulary meds when dispensed but they are not scanned when administered. Staff can be unfamiliar with them and can be error prone. How have other places addressed non-Formulary meds from a safety perspective?

The Malignant Hyperthermia Assoc. of the US (MHAUS) recommends stocking 100 mL sterile water for injection vials (without a bacteriostatic agent) to reconstitute dantrolene. These vials are not available from our suppliers (all have a bacteriostatic agent in them)and the Nurse Educators state that it would take too long to reconstitute each vial individually and therefore use a bag of sterile water for injection and use a "transfer infusion set" that utilizes one bag for multiple dilutions, thereby saving time.

Are RhIG products stocked in the pharmacy at your facility?

If yes, what safety strategies do you have in place for these items?