Hello,

I wanted help in understand what the recommendation is when it comes to use of the amiodarone in-line filters-does anyone know if is it recommended to use a new filter each time or is there a shelf life of the filter (eg: 1 filter per 96 hrs). Unfortunately,Manufacturer was not able to provide clarification on it.

Thank you.

Hello, some providers at our facility are requesting to turn off medication interaction alerts for several inactive ingredients (some eg: YELLOW DYE, CI PIGMENT BLUE 63,RED DYE,BENZYL ALCOHOL,BRILLIANT BLUE FCF,SACCHARIN,SODIUM BENZOATE, WATER, STERILE)

How does your institution determine what alerts are appropriate to turn off/silence?

Thank you.

Abhi

Hello. I'm wondering if anyone has standards of practice they are willing to share around the use of Orthopedic / Joint Antibiotics. For example, guidelines with patient selection, dosing, monitoring, etc.
We are seeing clinically relevant absorption and are concerned for possible ADRs.
Thanks so much.

Good afternoon,

Does anyone have policy or standardized monitoring (i.e. critical care monitoring for 6 hours) if a patient has an extravasation of a sedative, paralytic, vasopressor, etc due to concern for ADR post extravasation related to variable absorption/effect?

Hello,

Our health system is considering switching our ambulatory 5-FU infusions to be dispensed in elastomeric pumps from CADD pumps due to reports of spills, disconnects and alarms.

There is some literature out there citing spills occurring upto 40% of the time as well as excess fluid being present at disconnect upto 40% of the time (sample sizes were small).

Curious, if you use elastomeric pumps in your oncology space if this is your experience? Also, what failures do you experience when using these pumps.

Your time and response is greatly appreciated!

Does anyone have mitigation strategies used to ensure that long acting injectables are prescribed appropriately at discharge after starting therapy in an inpatient psychiatry setting? We have had some near miss events in which the long acting prescription was not provided at discharge. Any advice is appreciated!

We are an Oracle Health/Cerner site.

Good afternoon,

For patients who are unable to verbally communicate pain, do you have separate prn pain medication orders that include the non-verbal pain assessment tool used? Or do you include both verbal and non-verbal pain scales in your prn pain medication orders? Would greatly appreciate it if you could share examples of your orders.
Thank you in advance for any advice or insight you can share!

Hello colleagues,

Given the Venofer shortage, hospitals in my area (northwestern Washington state) are using more Ferrlecit. I have received reports of increased infusion reactions at those sites, particularly with 250 mg doses.

Is anyone else seeing this uptick in Ferrlecit infusion reactions? If so, have you identified any trends (i.e. lot numbers, dose, concurrent diphenhydramine use, etc)?

Thank you,
Megan Fragale, PharmD, MS, BCPS
Medication Safety Officer
Skagit Regional Health
Mount Vernon, Washington

Hey all,

Looking to see what sites are doing for acetylcysteine inhalation. We have seen several near misses due to the Acetylcysteine inhalation vials looking like regular injectables. Nursing staff have also voiced concerns about tearing the cap completely off due to the risk of cutting themselves on the metal collar. I've heard that some staff utilize a syringe w/ needle to draw up the inhalation liquid to then place in the inhalation chamber.

We also utilize the Aerogen nebulizer which has a very small opening to add medication to.