ASMSO Email List Server

I would be interested in which spacer you use.

Jim Heal, Pharmacist
Director of Pharmacy
Carlos G. Otis Health Care Center, Inc.
PO Box 216
Townshend, Vermont 05353
Tel: 1-802-365-3624
Fax: 1-802-365-9500
email: jh...@gracecottage.org

This email message may contain privileged and/or confidential information. If you are not the intended recipient(s), you are hereby notified that any dissemination, distribution, or copying of this email message is strictly prohibited. If you have received this message in error, please immediately notify the sender and delete this email message from your computer.

I forgot to mention... some of the factors are "BYOF" (pt gets their
supply from the hemophilia society and brings it in with them). We
usually have it brought to Pharmacy for storage, etc. I know of 1 child
that brings their own and the parents keep it in the room and parents
prepare and administer the dose (per family request). RPh does verify

Pharmacy dispenses the factor product. Communication is key so product
can be made just before it's needed to minimize waste. Define how doses
will be rounded to vial size to minimize waste (we discuss with
prescriber so they know what vial size is currently in stock). We do
not have policies per sey but very thorough communication with

Same here!

Meggan Owens, Pharm.D.
Medication Safety Pharmacist
Riverside Methodist Hospital
Columbus, Ohio 43214
Phone: 566-5888

______________________________ _________________

FORTUNE "100 Best Companies to Work for 2008 "

From:
"Thompson, Karen \(Anchorage\)" <Karen.Thomp...@providence.org >

Our pharmacy dispenses blood factor products. We don't have a policy
regarding this, though. We do prepare the dose for the RN.

Karen E. Thompson, Pharm.D.
Medication Safety Officer
Providence Alaska Medical Center
phone 907-212-4826
fax 907-261-3645

"We must accept human error as inevitable - and design around that

Because they are all "high risk" medications, everything is dispensed from pharmacy, they even require a second pharmacist check.

Tram Emily Do, Pharm.D.
Medication Safety Pharmacist
Department of Pharmacy Services
Riverside County Regional Medical Center
26520 Cactus Avenue
Moreno Valley, California 92555

Our Pharmacy is about to take on the dispensation of blood factors.
If you have any policies you can share that would be helpful.
Also, are you dispensing the vial for the RN or physician to prepare or
is the pharmacy preparing? I realize each product has different
preparation and stability requirements.

I'm helping to coordinate a visit of a health care organization that has a strong culture of safety from top down, bottom up. We are located in Wisconsin and would like to stick to the Midwest. If there is anyone that would be able to share their story with a group from ThedaCare?

Please let me know.

While I understand the benefits of a well designed MDI Redispensing Program, I have a few questions.

- How are multiple charges avoided?
- Is the program shared with patients?
- Do patients have the ability to opt out of the redispensing program?

Paul Kociemba RPh, MS
Bar Code Pharmacy Administrator

Chris -

We just implemented an MDI redispensing program. The process has been
approved by our infection control department. The only inhalers we
redispense are albuterol and flovent. The is a lengthy process for
redispensation including - tracking and cleaning. Spacer use is
MANDATORY for redispensed inhalers.

We developed two different processes for therapeutic anticoagulation vs. DVT prophylaxis. For therapeutic anticoagulation, the use of the orderset is required. We have one orderset, with a different page for each anticoagulant (enoxaparin, heparin drip, warfarin). For the postop DVT prophylaxis, we chose to add the orders directly to each physicians orderset (see OS 552). Implementation has been a tough process, but it feels like we are starting to see the light at the end of the tunnel. Good luck!

We have a treatment form developed and are having limited success.

Thanks
Donna Bohannon, R. Ph.
Medication Safety Officer
Franklin Square Hospital
443-777-7948
B- 410-932-7371

"Thompson, Karen \(Anchorage\)" <Karen.Thomp...@providence.org >
Sent by: ASMSO@googlegroups.com
03/23/2009 01:19 PM

Hello group

Following two incidents of patients receiving nalbuphine in our L&D
department while being treated with buprenorphine (Subutex), which
precipitated withdrawal, we are currently looking to make our
practices with these drugs safer. Do any of you have experience with
similar issues? Any informational documents you utilized? What kind

Our warfarin orders are enclosed.

Deb Saine, MS, RPh
Medication Safety Manager
Winchester Medical Center
Winchester, VA 22601
Phone: 540-536-2017
DSa...@ValleyHealthLink.com <mailto:DSa...@ValleyHealthLin k.com>

Rxcellence: Achieving the best use of medications through leadership, teamwork, and innovation.

Hi Tram,
Per your orders, it appears that Pharmacy automatically monitors all
warfarin patients and draws labs as needed. Is that correct? Have you
had any objections from MDs on this?

thanks

Karen E. Thompson, Pharm.D.
Medication Safety Officer
Providence Alaska Medical Center
phone 907-212-4826

Hello Everyone,

Does anyone have PCA Protocal & Moderate/Conscious Sedation Protocals
& P&P that they wouldn't mind sharing?

Thank you,
Rosemarie Salo, Pharm.D.   
Medication Safety & Compliance Officer, Pharmacy Services
University of California Irvine Healthcare
101 The City Drive, Route 32 │Second Floor, Bldg 53, Room 211 

We addressed only treatment orders with our order set approach, as prophylactic doses do not fall under NPSG 3E.

Thanks!
Judy J

Judy Stover, RPh
Medication Safety Coordinator
317.338.6854, pager 1700
St. Vincent Hospital & Health Care System
JCSto...@stvincent.org <mailto:JCSto...@stvincent.org >

We have a team of physician, pharmacist, nurses working on this form.
Please see attached.

Tram Emily Do, Pharm.D.
Medication Safety Pharmacist
Department of Pharmacy Services
Riverside County Regional Medical Center
26520 Cactus Avenue
Moreno Valley, California 92555

3/23/2009 10:19 AM >>>

We are revising our ortho post-op orders to be in compliance with NPSG 3E (anticoagulants). They are a nightmare!! We’re trying to include wording for when a baseline INR needs to be drawn when starting warfarin, etc… It’s really ugly. Has anyone else attempted something like this? Can I see your final product? Below is an excerpt from our draft order set

Pharmacy does.

Gary Ostrowski, Pharm.D.
Medication Safety Officer & Medication Regulations
Pharmacy Services
Saint Joseph Hospital
Orange, CA 92868
(714) 771-8067

Medication events and medication safety issues that are documented in the incident reporting system are not forgotten. They remain as reminders that action needs to be taken. Medication events and medication safety issues that are not documented are soon forgotten and are at risk of occurring over and over again.