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04/19/18 BG -- ondansetron 40 mg/20 mL multi-dose vials to be used on nursing units
From: Becky Ginn
Sent: 18 April, 2018 04:31 PM
To: Pharmacy
Subject: ondansetron 40 mg/20 mL multi-dose vials to be used on nursing units
Importance: High
Attachment: ondansetron Multi-dose Vials FlyerWe are experiencing an interruption in our supply of ondansetron 4 mg/2 mL vials. Due to the vial shortage, we are going to transition many of the nursing units to using a multi-dose 20 mL vial instead of the 2 mL vials. This process was started today at Main. NOTE: the 4 mg/2 mL vials and the 40 mg/20 mL vials are the same concentration (2 mg/mL). Please see the attached flyer that describes the process for the nursing units.
PHARMACY KEY POINTS:
1. As units are transitioned to the 20 mL multi-dose vials, the 4 mg/2 mL vials will be removed from their Pyxis 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 ondansetron 6-barcode label entry). MILT instructions apply to HH Main
3. Some machines will have 40 mg/20 mL multi-dose vials and some will continue to have 4 mg/2 mL single-dose vials.
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Becky Ginn, Pharm.D.
Huntsville Hospital