From: Becky Ginn  
Sent: 12 December, 2017 4:24 PM
To: Pharmacy Department
Subject: Fwd: labetalol SYRINGE shortage - PLAN at HH Main
Importance: High

Main is continuing to experience supply issues with labetalol 20 mg/4 mL syringes. we will be going live with more nursing units tomorrow that must use the multi-dose labetalol 20 mL vial (same concentration as the syringe). The attached flyer is/will be placed in the med rooms of all affected units. Pyxis machines will NOT stock the labetalol syringes if the mult-dose vials are loaded. Please see the list below for affected units:

2E-M
2W-M
3E-M - LIVE TOMORROW
3W-M - LIVE TOMORROW
4MST-1
4MST-2
4NEM
5E-M1
5W-M
6E-M - LIVE TOMORROW
6MST - LIVE TOMORROW
6NEM - LIVE TOMORROW
6N-M - LIVE TOMORROW
6NWM - LIVE TOMORROW
6W-M - LIVE TOMORROW
7E-M - LIVE TOMORROW
7MST - LIVE TOMORROW
7NEM
7N-M
7NWM
7W-M
8MST
8NEM
8N-M_01-32
8N-M_33-47
EDPODA - LIVE TOMORROW
EDPODB - LIVE TOMORROW
EDPODC - LIVE TOMORROW
EDPODD - LIVE TOMORROW
EDPODF - LIVE TOMORROW
EDPODG - LIVE TOMORROW
SICU_01-11
SICU_12-19

From: Becky Ginn
To: Pharmacy Department
Sent: Friday, December 8, 2017 8:14:45 AM
Subject: labetalol SYRINGE shortage - PLAN at HH Main
Attachment: labetalol multidose vials flyer

We are experiencing an interruption in our supply of labetalol 5 mg/4 mL syringes . Due to the syringe shortage, we are going to transition some of the high-use areas to using a multi-dose 20 mL vial instead of the 4 mL syringes. NOTE: the vials and the syringes are the same concentration (5 mg/mL). Please see the attached flyer that describes the process for the nursing units.
**labetalol vials are NOT on national backorder....only the syringes**

PHARMACY KEY POINTS: 

1. As units are transitioned to the multi-dose vials, the syringes will be removed from their machine.

2. The 20 mL multi-dose vials must be protected from light (kept in the box). When the 20 mL vials are dispensed by pharmacy, we will be placing a 28-day expiration date label on both the outside of the box and on the vial on the inside. These expiration date labels can be printed from MILT (under labetalol 6-barcode label entry).

3. During this time, some machines will have 20 mL vials and some will continue to have only the 4 mL syringes.

--
Becky Ginn, Pharm.D.
Huntsville Hospital