When automated dispensing cabinets are restocked at your institution is every individual medication scanned or do you only require that one item from the group be scanned?

e.g. When stocking tylenol is one scanned or isevery tylenol tablet scanned?

Hello,

How does your institution document the waste of the fentanyl patch? We were documenting the waste in pyxis, but have recently upgraded to Pyxis ES and are searching for a solution.

Do you utilize instutional guidelines for timing of home meds post-operatively?

Do you delay start times based on certain category of meds?

thansk

Are there any institutions that you know of that have successfully implemented a medication history technician program? I am on the brink but need some more information for my board.

What is your facility implementing for the caridoplegic solution drug shortage? Is the cardioplegic solution being compounded? If so, what is the formula being used?

Do other L&D departments require cardiac monitoring for patients on continuous magnesium?

Our surgeons have purchased Quest micro cardioplegia delivery systems. Do any of your hospital ORs use this perfusion technology? It needs to operate using undiluted potassium.  The OR is requesting we stock vials of potassium in their automated dispensing cabinets.  

What types of safety measures have you implemented for this situation?  

If you do not have this technology, I would still be interested in your thoughts in regards to how we could implement the use of this technology in a safe way.

  Any incite is most appreciated. Thanks!

Hi All,

We are having a lively discussion about this in my department and am really looking for your help.

How do you address this EP?  Where does medication preparation occur when it is outside of the pharmacy?

Do you have one space designated with/without tape for medication preparation?

Is this space used for other things or is it only for medication preparation?

Do you have a tray?

Do you have computers on wheels in the patient rooms with a workspace?  Do you use this workspace?

We would like to know if there are circumstances in which a nurse must prepare more than one medication in a single syringe for IV push use at the bedside?  What would the circumstances be-- Short stability?  No pharmacy availability after hours? Convienience?

What medications would these be?

How about anesthesia? What medications do they typically combine in one syringe for IV push administration?