We used to order cardioplegia from CAPS pharmacy, but now we have to compound it in-house. It is a very comprehensive and time-consuming prep with seven additives. Any other hospitals compounding? How have you added efficiency without compromising safety to the process?

Dear MSOS Team, I would like to know if your hospital uses Anti-Xa assay to monitor heparin vs. aPTT? Much appreciate your feedback.

Maggie Ton, Pharm.D, SIDP, CMSO, APh.

What's everyone doing for Pharmacy week from a medications safety standpoint?

Hello,

Hello,

Wondering what other organizations have used as their standard practice.

When delivering medications to nursing units, my organization places all compounded and premix IVs in the refrigerator by default, unless indicated by package insert that it cannot be refrigerated. In those cases, we will place a do not refrigerate sticker and place in a bin in the med room.

Do other organizations follow this practice, or do they perhaps do the opposite where all IVs are placed in non-refrigerated storage unless otherwise indicated to refrigerate?

Hello,

Can anyone share any peds med safety metrics that you follow? Would love to see what other institutions are doing. Thanks!

Hi All,

We are exploring the use of BCMA to verify right patient and right med in Dialysis. We want to use technology (better risk reduction strategies) to safeguard this process (versus using manual process).

1. Is anyone using BCMA to confirm Right patient in this patient care area?
2. Is anyone using BCMA to confirm Right med (dialysis solution)?
3. Other tech/EHR involved safeguards?

If you are, we would be interested in discussing details - do you use MAR, flowsheet, other., etc.

Thanks,
Liz

I want to alert everyone that our nurses discovered some 1-L normal saline bags from Baxter that had no barcode printed on the bag to enable BCMA. Please see the attached pictures.

I reported this labeling error to ISMP.

NDC: 0338-0049-04
Lot: Y427043

I would be appreciative if anyone has a policy or guidance regarding use/administration of papaverine in the pediatric population to share. Additionally, do you have an established standard or guidance for utilizing heparinized fluid vs. normal saline for maintaining arterial line patency in children? Thank you. Mark