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7/25/19 sh EPINEPHrine emergency syringe national shortage -**UPDATE**
July 29, 2019
From: "Steven Higginbotham" <steven.higginbotham@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Thursday, July 25, 2019 10:52:41 AM
Subject: Re: EPINEPHrine emergency syringe national shortage -**UPDATE**
We are out of boxed EPINEPHrine 1 mg/10 mL syringes on the carousel at HH Main. There are still several boxed syringes throughout the hospital in code trays, emergency kits/bags, and Pyxis. Eventually, will we have to replace all of the boxed syringes in these locations with "EPI KITS".
The EPI Kit will contain :(same as what we are already using in the code trays) EPI 1 mg/1 mL vial 0.9% NaCl 10 mL vial syringe needle alcohol swab syringe label
At Main, PSP-prepared EPI 1 mg/10 mL syringes will be stored in amber bag(s) on top of the RPh Code Bag and are to be taken by the pharmacist to the called codes. This will allow the pharmacist to hand out these PSP-prepared EPI syringes during the code. Please contact PSP when more syringes are needed.
Let your supervisor know if you have questions.
Steven
----- Forwarded Message -----
From: "Steven Higginbotham" <steven.higginbotham@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Tuesday, March 12, 2019 3:04:07 PM
Subject: Re: EPINEPHrine emergency syringe national shortage -**UPDATE**
Beginning today, Main will no longer be using PSP-prepared EPINEPHrine 1 mg/10 mL syringes. Instead, we will store 10 of the boxed EPI syringes in a clear plastic bag on top of the RPh Code Bag for pharmacists to take to codes. We will continue our efforts to conserve boxed EPI syringes by using 4 EPI KITS in place of boxed syringes in each ADULT code tray that we refill.
Please be aware that it is likely we will have a mixture of ADULT code trays that contain (6 boxed EPI syringes) VS (2 boxed EPI syringes + 4 EPI KITS) for the duration of this shortage.
Let me know if you have any questions.
Thanks,
Steven
----- Forwarded Message -----
From: "Becky Ginn" <becky.ginn@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Tuesday, March 5, 2019 8:42:34 AM
Subject: EPINEPHrine emergency syringe national shortage - conservation measures initiated
IMPORTANT CHANGES Re: EPINEPHrine for Code Blues:
- Beginning today, Main and HHWC (does not affect Madison Hosp at this time) will reduce the number of boxed EPI syringes in the ADULT code trays from 6 to 2 per tray. The 4 boxed syringes that are removed will be replaced by 4 EPI KITS (EPI 1 mg/1 mL vial + 0.9% NaCl 10 mL vial). Instructions for preparation are provided on the kit's label. **note: NO changes to PEDIATRIC code trays at this time**
- At Main, PSP-prepared EPI 1 mg/10 mL syringes will be stored in amber bag(s) on top of the RPh Code Bag and are to be taken by the pharmacist to the called codes . This will allow the pharmacist to hand out these PSP-prepared EPI syringes during the code.
- At Main, Central Pharmacists are responsible for logging the location for all code trays that are given out the window (both Peds and Adult). This has a 2-fold reason: 1. when the EPI shortage resolves, we can replace the KITS with boxed syringes 2. to document the location of our Peds and Adult crash carts
Let your supervisor know if you have questions.
--
Becky Ginn, Pharm.D.
Huntsville Hospital
Pharmacy Manager - Central Operations
(256) 265-2542