Our nursing education department is requesting expired code blue medications to stock their "mock code blue cart" for education purposes. I was wondering what other organizations do as this could be a safety and regulatory concern if by chance these medications end up in circulation. Any best practices out there? Does any one give out expired medications to nursing education and have a solid SOP or policy? Do you use "demo" medications. Thanks in advance for any feedback.

Hello! I'm hoping get member feedback regarding how your facilities are procuring and storing large volume potassium containing solutions (D5NS with 20 KCL 1000 mL, etc.).

1) Does pharmacy procure and stock these products or does your facility allow central supply to purchase and stock?
2) If pharmacy procures these products, are they stored in the ADCs on the units or are alternate storage methods allowed (open bins in med rooms, etc.)?

I appreciate your input!

Do you allow storage of anesthetic gas (e.g., sevoflurane) within an ADC in the OR. If you allow storage in an ADC, how do you handle partially used bottles?

Do you allow anesthesia to return partially used containers into the ADC? If returned to ADC, are you considering them as multi-dose containers?

Thanks!

Hello,
can other facilities share their meropenem extended infusion practice (2gm doses extended infusion specifically)
* what diluent
*volume of diluent
*BUD placed

we are having confusion on what concentration and BUD to adopt and curious on other hospital practices

Hello,
For folks who use the Grifols Dosi-Fuser portable elastomeric infusion pump, I'm curious if anyone is experiencing quality issues.

Since late August, we have had #59 reported over- and under-infusion events. These are occuring mostly with fluorouracil. Our patient selection, staff, dosing, volumes, etc are all unchanged. The only potential cause we can identify is that the manufacturer had a change in sensor production mid-August.

Our facility has supplied acetaminophen & ibuprofen to units as "floor stock" since before I came here 5 years ago. I don't think this is safe, anyone have any evidence or opinion on this issue? Per our Medical policy I believe they should go through Employee Health.

We do not currently have a policy that states a nurse must accompany a patient to Diagnostic Imaging or a Procedural area if they received a dose of IV benzodiazepine for anxiety. We are considering the need for one.

What do you have in place at your institution?

Thank you,

Erica

Hi Everyone,
Wanted to see if any of you have good workflow processes (including EMR configurations) to ensure that any patient who receives an SGLT2 inhibitor inpatient does not receive this medication as their condition may change, like becoming NPO, unplanned procedure, abnormal labs, etc.. Are you storing this medication in your ADC and relying on your nurses to hold if needed, or are your pharmacists actively involved in a daily review or other strategies?
Really appreciate any insights, and hearing what may work well at your respective hospitals.
Thank you! Alex

Hi everyone,

I’m looking for insight into how other institutions manage patients who are admitted with their own insulin pumps (devices). Specifically, I’m interested in learning more about the pharmacy’s role in verifying and documenting what is currently in the pump (type of insulin, concentration, reservoir amount, etc.).

At our facility, this has been a recurring challenge—especially when confirming the insulin type and ensuring accuracy in the EHR medication list. I’d love to hear:

Hi all, 

Can you share whether your site has implemented either of the following in your automated dispensing cabinets? If so, I’d appreciate it if you could share any pros and cons.

Thanks,
Casey

1.) A second witness requirement for the removal of certain medications (e.g., neuromuscular blockers) by caregivers?

2.) A five-character minimum when searching for a medication?