Our facility has decided that Pharmacy will be responsible for crushing hazardous oral meds, when crushing is required (to avoid having to have all RNs fit tested for N-95 masks annually). It would be a terrible idea for Pharmacy to simply dispense a baggie full of HD powder for the RN. However, if there is no reference for compounding a liquid, I am not sure what we are supposed to do. I have heard of a facility mixing the crushed tablet with water, and telling the RN to administer ASAP. It has also been suggested that RX put the tablet into an empty oral syringe, then having the RN add water to the syringe and letting the tablet dissolve just prior to administration. To complicate things even more, I've had nursing and speech therapy ask me what we should do about patients that are on aspiration precautions. Those patients cannot swallow meds that have been mixed with water because it is too thin. In those cases, we could use simple syrup, but again - there is no stability data for it.

Help! Has anyone come up with a good solution (no pun intended)?