Can anyone share how they administer letermovir to pediatric population who can not swallow the whole tablet. There is a "do not crush/cut" warning in Lexi and PI. Drug manufacturer stands by their message.

Greetings, The question about med safety structure has been asked many times before but I have a new spin on it -

If you are satisfied with your med safety resources, can you explain your structure/roles? Please include the size/number of facilities, and types of duties.

If you feel you need more med safety resources, what are you lacking? What would make it better?

Your expertise is needed! We're conducting a survey to enhance patient care through pharmacist counseling.

Survey Purpose
To prioritize inpatient for pharmacist counseling, focusing on those who would benefit the most

Survey Details

Our institute allows multiple use medication for more than one patient ( if it’s prepared properly in the medication room under aseptic technique and labeled with opening date , time and initial .

My question is , in ER resuscitation area we have multiple use high alert medication ( insulin, Heparin)
What’s the best practice to eliminate contamination?
Shall we discard after single use ?

Thanks

Greetings ,

I am wounding if vancomycin for wound irrigation is approved to use to reduce surgical site infection post surgery,

If yes , can anyone help to have a guideline or a reference.

If no , what’s other can be use in such cases ?

Thanks in advance .

Good morning,
We are in the process of developing a policy surrounding weight (specifically dosing weight) for our (pediatric) institution and was wondering if anyone has one already in use that they are willing to share?
Thank you,
Jordan Anderson
Driscoll Children's Hospital

Hi All,

Interested in dispensing process best practices for products that are drawn up in IV syringes that are not intended to be administered via IV route. For example, bladder irrigation solutions, inhaled pentamidine, alteplase for chest tube administration, etc.

We are evaluating our standards to determine if there is a need to require nurse pick up for these types of products referenced above. Of note, we have other safeguards in place including appropriate route of administration on MAR, auxiliary labeling "not for IV use", etc.

Hi All,

We are evaluating our current process of adding electrolyte replacement doses to 24hr supply of enteral formula in pediatric patients and are interested in the following:

1. Does your institution have pharmacy add enteral electrolyte replacements (e.g. NaCl, NaHCO3, etc) directly to 24 hour supply of formula to administer continuously? If so, what process is in place to handle appropriately?

Dear all,

For your automated dispensing cabinets (omnicell, pyxis, etc.), when a medication is overridden, do you ask a RN to enter a specific reason other than stat or emergency?

Thank you,
Deepika

USA Today article, for your awareness
https://www.usatoday.com/story/news/investigations/2023/10/26/pharmacy-c...