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9/18/19 bg UPDATES: rabies vaccine - paperwork required for all new orders!
September 19, 2019
From: "Becky Ginn" <becky.ginn@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Thursday, September 19, 2019 7:08:24 AM
Subject: UPDATES: rabies vaccine - paperwork required for all new orders!
Here are some needed clarifications (thanks to all for your questions?) :
- This only applies to rabies vaccine at this time. It does not apply to rabies immune globulin...yet.
- Use our current rabies vaccine stock that we have on hand (can be either RABAVERT or IMOVAX) for initial dose! Do not wait on replenishment to give to the patient. The replenishment doses that we receive from Sanofi Pasteur will be placed into stock.
- Most initial doses will be dispensed to your ED. Most repeat doses will likely be dispensed to Outpatient Medical.
- The patient's Cerner order will need to match the brand that is being dispensed so you will have to communicate with your central pharmacy to see which product is on hand.
- Body weight will NOT need to be used to calculate doses for adults and pediatrics. Use recommended dosing guidelines to determine how many doses (each dose = a kit that contains 2.5 units) will be needed for the entire course for each patient. On the certification form "Total number of Imovax units needed for post-exposure prophylaxis" record in BOTH total units and number of kits, for example: if 4 doses are needed write "10 units (4 kits)".
Let me know if other clarifications are needed. We will have a pop-up upon Cerner verification to remind you of the need to fill out the paperwork.
Becky
----- Forwarded Message -----
From: "Becky Ginn" <becky.ginn@hhsys.org>
To: "Pharmacy" <grp_pharmacy@hhsys.org>
Sent: Wednesday, September 18, 2019 1:35:01 PM
Subject: rabies vaccine - paperwork required for all new orders!
IMPORTANT WE MUST INSTITUTE THESE REQUIREMENTS This includes all 3 hospitals:
Due to a national backorder of rabies vaccine, the attached form is REQUIRED in order to dispense rabies vaccine (IMOVAX).
Jeremy Ray & Kenny Boley (HHM ED), Chris Strickland (Madison Hosp), and Maggee Kyle (HHWC ED) can, if needed, assist pharmacists with the process when they are here. The dispensing pharmacist will need to collect the appropriate information when rabies vaccine is ordered regardless of the location of the patient. Do NOT loan rabies vaccine to other hospitals. They will need to follow the same procedure that we are following.
NOTE: Madison Hospital and HHWC do NOT have an account with Sanofi Pasteur (only HH Main has the account). All paperwork will have to be sent through HH Main to receive stock.
Pharmacists : Please attempt to get the provider's signature on the form when the rabies vaccine is ordered. If you are NOT able to get the provider's signature on the form, make sure to leave the form, along with the patient's information, for Jeremy/Kenny or Maggee (if the patient is an ED patient) or management so they can follow up. Wade Williams or the "OPM" pharmacist position will be following up on the OutPatient Medical patients requiring rabies vaccine. OR---You may leave the paperwork on Keith's door, and we will forward to the appropriate person.
With regard to the attached form please note :
- A physician's printed name and signature/date is required.
- Multiple patients can be requested on each form....calculate the total number of units and doses/kits need for Post-Exposure Prophylaxis (each dose/kit = 2.5 units). You will need to assure all of this information is gathered properly.
- You need to fax or email this form (for the purchase order number use the date you're sending the form plus Keith's initials....for example, if I sent this form today the purchase order would be 091819KM).
- Once all of this is completed give this form to Keith Moss (or fax it to him at 5-6337).
If you have questions, ask your supervisor or manager.
Thanks, Becky
--
Becky Ginn, Pharm.D.
Huntsville Hospital
Pharmacy Manager - Central Operations
(256) 265-2542