Inquiring about storage of concentrated ketamine (100 mg/mL product). We currently store the 50 50mg/mL in select ADCs but are considering expanding to the 100 mg/mL product due to several events with combative and agitated patients needing high IM doses. Wondering how other sites are handling the safety implications around this.

Has anyone been able to make dedicated charts for either fetally administered meds, or meds that need to be ordered and available immediately at birth (eg, palliative birth meds)?

We're concerned with fetal vecuronium orders being placed on mom's chart, and right now have a kit that has to come up from pharmacy for palliative births. The kit is problematic because it is lots of controlled meds and isn't as secured as we would like.

Thanks!
Kara

hello!

Looking for input on handling of Botox at other institutions. Currently our hospital has Botox listed as a hazardous drug that would require double glove, chemo gown, and mask for reconstitution. I am not finding any information that justifies our current handling of this medication, but just wanted to reach out to others to see how your institutions classify/handle this drug.

Thank you for your time! I am new to this group and looking forward to collaborating in the future.

Hi! I am trying to build out amivantamab the safest and least complicated way for nurses to follow into our IV pumps at a cancer institution (Alaris and Baxter). Has anyone built this out in their institutions and how was it done?

For context, Amivantamab has 6 different doses and some of the doses like 1400 mg can be given over different rates depending on what number week of therapy it is.

Any insight would be greatly appreciated.

Thank you,

Monique Hazelcorn
Miami Cancer Institue

Over the past few years, my institution has made progress in terms of treating contrast agents like medications. Most are ordered in Epic based on an Algorithm and some are now scanned before administration.

We are considering whether RPh verification is required for these agents (or perhaps some and not others?). Please share your thoughts and experiences!

Thank you.

For those of you that dispense IDS medications, do you have a policy or procedure for when a study team wants to administer a medication that is NOT dispensed from your pharmacy? Do you treat it as a patient's own medication (PTOM)? We have not been asked to be a dispensing site for this particular study, but the study team wants to transport the medication to be administered on the inpatient side, again without pharmacy involvement. I feel it needs to be somehow profiled on the patient's chart. Thoughts/comments?

Our pediatric institution routinely uses partial medication patches. The dose is entered as the # of patches (ie. 0.25 patches or 1 patch). Does anyone have any clinical decision support at the point of administration to remind the RN that only a partial patch is needed?

Thanks!

Greetings,
We have a request to prepare Reck solution in the pharmacy for periarticular injection. Does anyone have stability and compatibility information you could share? I found a commercially available product from Quva, but concerned about cost. Thank you.

Currently our dose rounding for acetaminophen suppositories is to the nearest quarter of a suppository. The nurse is cutting or shaving the suppository on the floor prior to administration. We are evaluating this practice and would like to know if there are any best practices out there on rounding doses of suppositories and administering them? How are other hospitals preparing and administering suppositories if partial doses are needed or do you just round to the nearest whole suppository?
Thanks!

Hi All
Does anyone require an order set or panel that has labs/EKG/monitoring for patients on dofetilide/sotalol at home that get admitted to the hospital (for continuation of home therapy)? If so, can you share your order sets/ process?
Thank you
Lindsey