We historically only allowed IV iron products to be administered via IV infusion. Our cancer center and outpatient infusion center are considering giving doses

We received reports from our PACU nurses that Dilaudid 0.5 mg/0.5 ml syringes are presenting issues with flimsy plungers, excessive resistance to pushing, and questionable forward flow.

NDC: 76045-0009-06
Lot: 6401467
Exp: Aug 2026

Is anyone else experiencing these issues?

Hello!

Our institution has seen an increase in hypersensitivity reactions to Cabenuva injections in recent months. Nurses also note that the rilpivirine is “thick” when administering. Wondering if any other institutions have seen an increase in these reactions.

Hello everyone! We are having trouble with our current supplier of 0.22 micron filters, and the replacement supplier is quite expensive. At this time, we only have two formulary items that require the filter.

Are you running into supply issues? Do you routinely stock for just a few formulary items?

Thank you in advance for your response!

Diane

Looking to see what other sites have implemented to prevent administration errors with vancomycin.

We currently use a pharmacist managed vancomycin program, where the pharmacists order and time the trough/random levels, and dose adjust as appropriate.

Hi everyone,
Our facility dispenses various types of medication trays that look similar - Adult/Peds code tray, L&D epidural trays, aws trays, endoscopy trays, etc. The distinguishing factors are the label on the side and the paper of contents and rph signature on the top, and then the trays are sealed in clear plastic.
Are there any other ways your teams are distinguishing the trays your facility uses?
TIA!

Is anyone currently utilizating Admelog is a follow-on biologic of insulin lispro and is a EPIC user? EPIC looks like it has the default of both humalog and admelog on the same ERX even though they are not "interchangeable." If you are using it did you create equivalence groups in Epic or are you just having them on the same ERX?

For intermittent dosing of IV DHE for pediatric patients with migraines. Is there evidence to support dilution of the medication (stability). Have your team's extended the duration of administration beyond 2-3 minutes.

What evidence sources did you utilize for stability to dilute and extend the duration?

Lexicomp:
IV: Children ≥6 years and Adolescents: May be administered undiluted slowly over 2 to 3 minutes; or diluted and infused over 60 minutes (Ref). Test doses have been administered over 5 minutes

We have seen a trend of RFP 404 & 400 NxtStage dialysate bags either having holes in the bag once removed from outer packaging OR seams "exploding" or "popping" when the seal that separates the two compartments is broken for mixing. We have about 15 reports of this occurring over the last couple of weeks. I have reported to ISMP and we are in the process of reporting to the manufacturer. Has anyone else seen this? These are experienced ICU nurses that hare having the issue--I don't think it's training or knowledge related.

We've had a few issues rear up at my hospital recently. So, I have a couple of questions for the smartest group of people I know:

1) What type of notification process do you use at your facility when shortages occur? Do you have a Pharmacy bulletin or just coordinate with the specific affected department? Do you have any sort of formal policy? If anyone has something they could share, I'd be interested to read.