We have having challenges with keeping out hazardous cleanroom suite within the narrow 0.01-0.03 negative pressure range requirements. We do not have a pharmacy-dedicated air handler.

Hello,
I would like to review our hospital's meds to make sure we're storing everything properly with protect from light. The latest ISMP article addressed it with a linked article, but I can't seem to get it to open. Would anyone happen to have that article or an official list? Thank you!

Does your facility require a compounder to be tested in every area they work? for instance, here we require testing in our cancer, or, and inpatient areas so that individuals must be tested in all 3 places to work in all 3 places.

We recently had a request to add mL in addition to units for compounding software in IV room. This is concerning with markings on the syringe (not insulin syringe) as well as 100x dosing errors.

On 2/8/24 CMS published Memorandum Summary which states that texting patient orders is now permissible if HIPAA compliant and compliant with CoPs. For ordering medications this seem like a huge safety concern. We can easily find multiple examples of providers trying to text orders which did not contain all requirements of a medication order (for example no route, no frequency etc.) and used abbreviations on the "Do Not Use" list. There is no tall man lettering in texting orders.

I am curious what other institution's policy around intravenous calcium chloride and calcium gluconate administration is. Do you require administration through a central line/PICC? If so, at what dose do you require central/PICC line?

Thank you!

We are a small hospital with a 6 bed ICU, 25 bed med/surg unit. Pharmacy hours are limited (pharmacist on call midnight-7am). We currently have ready to use precedex vials. We are exploring the idea of allowing nursing to draw up the loading dose (from ready to use container) to be able to start the infusion earlier (we use often for ETOH detox indication). If allowed pharmacy would like to require a nursing double check of the loading dose. Would anyone be willing to share more details about their Precedex policies? Do you allow drawing up the loading dose on the nursing unit?

Hi everyone,
I'm wondering if anyone has any psychostimulant prescribing monitoring in place within your health system. We were recently alerted to a patient requesting multiple prescriptions each month at different pharmacies, reporting that the first pharmacy was out of stock. The patient would then fill the prescription at each pharmacy - paying with insurance at one then cash at the other.

Hi All - looking for comment on the FK drug library capacity and whether you found any limitations to its size when developing your libraries and profiles.

Our organization is looking for information regarding dual controlled substance handoff for nursing. Are there any organizations which have a process for nursing handoff of controlled substances within the EMR system. Any help would be greatly appreciated.