Hello,

Does your facility allow IV haloperidol to be dispensed to all clinical units or restrict its use to certain areas only (e.g., ICU, telemetry)? Could you share your facility's protocol regarding the use of IV haloperidol if you have any (e.g., for management of acute agitation)?

Thank you in advance!

Sunny Ro

We have albumin on the "do not tube" list at our facility, but I recently discovered that other hospitals in the area are allowing the bag form to be tubed. Does your facility allow albumin to be tubed? I also found an article from 2017 that would support tubing (attached) Thanks in advance!

Hello,

We have interest in moving to the ASHP S4S high concentration furosemide 10 mg/mL (undiluted drug) however our compounding team is concerned about the lack of stability data in PVC bags. We know other medical centers use this concentration but none have been able to provide stability data after re-packaging into bags.

Thank you in advance!
Lauren

SPECIAL ALERT on Possible Mislabeling

ISMP has received a report of a manufacturer's premixed dexmedeTOMIDine bag packaged within an overwrap labeled as acetaminophen. Please read the National Alert Network (NAN) warning that contains safe practice recommendations:

https://home.ecri.org/blogs/ismp-alerts-and-articles-library/manufacture...

When it comes to intravitreal or intraocular doses, do you prefer dispensing them in syringes with or without needles? Additionally, for pediatric units, are parenteral medications typically dispensed in syringes with needles to nursing units? Do you draw the doses up with a filter needle? Share your practices and insights below!

Thanks,
Harriet

Hello all. I wondered if you could share the following for those who utilize technicians for med rec:
1. How many med rec techs do you have?
2. Do they primarily serve the ED/ a particular unit?
3. Who supervises these technicians> another technician/ pharmacist? Is this supervision direct or indirect?
4. What rights or capabilities do your techs have in your EMR> can they add, delete, and/or adjust anything in the med rec area of the chart or have limited function? Please elaborate as able.

Thanks for your feedback!

In order to get a ready made 2.5mg of oxycodone instead of nursing have to split, our pharmacy splits the 5mg tab and then unit-doses that as "Oxycodone 2.5mg." We are looking for feed back as to what the unit dose label should say. the names that we are between is just "Oxycodone 2.5mg Tablet" or
"Oxycodone 2.5mg (1/2 of a 5mg tablet)"

What is clearer?
What do you do in your facility to label split tabs?

Thank you

Hi everyone,

How do your sites draw up and deliver bevacizumab for intravitreal administration for retinopathy of prematurity? We have a NICU protocol with a dose of 0.05 mL of bevacizumab drawn up in a 1 mL syringe and delivered to the unit. The dose to be administered is 0.025 mL. However, since this dose is very small, our pharmacy dispenses 0.05 mL for the proceduralist to administer half of the dispensed dose. There are potential errors associated with this practice, and we are evaluating our workflow.

Hello,
Do any of your organizations use the Mini-Bag Plus system with Zosyn vials? Have you had reports of product returning to the vials after initially mixing?

We are whittling down pir 585 line items requiring dual check. We recently removed SQ insulin and are now tackling TPN/PPN.
Are you requiring a dual check for TPN or PPN ?
Y/N

thank you !
Laura