Our facility has been having issues with remembering to remove medications from the patient med drawer or boxes in the rooms upon discharge. We have added a hard stop to printing the AVS where a nurse must say she has removed medications from the drawer/box but they continue to select yes and not actually complete the task. Does anyone have anything that works as far as hard stops/forcing function for removal of medications from drawers upon patient discharge? A little more info: Our current process is that RNs are responsible for this task as EVS cannot touch the medications.

Good afternoon,

We are looking to enhance our process for managing medications returned to pharmacy from patient care units. Does anyone have an efficient process that they would be willing to share? Thanks in advance!

For those of you who have BD Alaris pump and Epic and have started to upgrade your pumps and servers to address the 510k requirements, have you experienced interoperability disruption to the services with the upgrades? Would you be able to share your overall experiences with the project?

Does anyone allow the use of buffered lidocaine, j-tips, urojet, or other topical local anesthetics within 96 hours of Exparel administration?

Thank you for your input.

Hi all, I hope you’re doing well. I have a question
For those who use concentrated potassium chloride as feticidal in some cases, how the order designed within your health informatics system, HIS
Dose:
Route of administration:
Frequency:
How is the preparation:
Labeling:
Administration documentations
And Who administers it?
Thank you for sharing your experience with me.

Does anyone have stability info for naloxone infusions at 40 mcg/mL? If you are using this concentration, what is your BUD?

We are updating our naloxone infusion concentration from the manufacturer recommended concentration of 4 mcg/mL to the ASHP Standardize 4 Safety recommended concentration of 40 mcg/mL but I cannot find any information for stability at this concentration.

Greetings all,
If you provide intermittent doses for syringe pump administration for peds/neonates do you provide overfill to prime the line or do they have to attach a flush syringe to flush at the same rate afterwards?

Are there any best practices in regards to this that we may be unaware of?

Historically the majority of our hospitals have been providing overfill but trying to standardize all hospitals to a single process and looking for best practice. Certainly are pros and cons to each (overfill vs flush behind)

Thank you in advance,
Dana

Does your facility store opened xylocaine/epi multi-dose vials at room temperature or in the refrigerator?

Our clinic's procedure is to use the MDV once. However, due to product shortage we are using the MDV more than once.

Thanks.

Hello All,

Amox/clav tabs must be dispensed in the original container. How do you dispense it when the Rx calls for less than what is packaged in the manufacturer bottle? Example, when a 7 day instead of a 10 day supply is prescribed? Remove 6 tabs and dispense the remainder in the original bottle with counseling that the seal was broken by the pharmacy or dispense the full bottle with counseling to discard remainder?

For inpatient services, do you prepackage these types of drugs and store in ADC or dispense per request to units?

Thanks!

Hello everyone,

Does anyone have any policies/procedures/standard work for what to do with narcotic drips on transfer and how/where to document?

When a patient is transferred IN, do you dispose of the prior bag and hang your own bag? How do you document that disposal?

When a patient is transferred OUT, does the drip go with the patient?