FormWeb • methotrexate IM

IHS FormWeb

Approved Formulary

Staff Telephone Numbers

Webpage Links

Add Formweb to your mobile device

Android iOS

Search results for:

methotrexate IM

methotrexate IM

No brands, forms, or strengths have been added for this generic.

Display Antineoplastic Agents Class: 100000

High Alert Drug : Policy

Medication comments:

Reserve Injection for Ectopic Pregnancy during SHORTAGE

Chemo rounding - may round chemo DOWN to nearest vial if dose within ≤ 5% of ordered dose.
Chemo doses will not be rounded up. (Approved 12/18)

High Alert Drug: Chemotherapeutic Agents - Parenteral
• Stored separately in pharmacy. • Pharmacist reviews literature in order to to verify calculations and dose prescribed. • Two pharmacists independently verify preparation. • No telephone orders. Pre-printed order sheet available. • Chemo is administered by specially trained RNs. • 2 RNs independently verify pump settings and drug on continuous infusions prior to administration. • IV sites are assessed every 2 hours. • Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.

High Alert Drug: Chemotherapeutic Agents - Parenteral

• Stored separately in pharmacy.
• Pharmacist reviews literature in order to to verify calculations and dose prescribed.
• Two pharmacists independently verify preparation.
• No telephone orders. Pre-printed order sheet available.
• Chemo is administered by specially trained RNs.
• 2 RNs independently verify pump settings and drug on continuous infusions prior to administration.
• IV sites are assessed every 2 hours.
• Drugs are transported in plastic bags/designated transport containers labeled with sticker indicating CHEMOTHERAPY DRUG.

Per policy, these hazardous drugs have special waste requirements.
Generic (Brand)	Waste Requirements
methotrexate (Otrexup, Rasuvo)	If > 3% by weight of drug remains ⇒ BLACK BUCKET Trace amounts/uncontaminated PPE ⇒ YELLOW BUCKET

USP <800> Hazardous Drug Assessment of Risk (AOR)
Per policy, these drugs are exempt from USP <800> handling requirements under normal circumstances. The following outlines must be followed.
generic (Brand) Route [Packaging: Manufacturer ⇒ Dispense]		NIOSH Group
Methotrexate (Trexall) IM [Vial ⇒ ]		Antineoplastic
Pharmacy: Receiving / Storage / Preparation Exposure Risk: moderate	• Handling/preparation PPE Requirements: Single CX glove, gown , and CSTD (as dosage form allows)
	• Receiving from Distributor: Designated area/ CX gloves
	• Pharmacy Storage Area: Hazardous, Chemo zip locking bag
	• Packaging/Reconstitution Location: n/a
	• Compounding (Non-Sterile/Sterile) Location: Required: Med Prep Area with Immediate Use Preparation standards
	• Omnicell Load: No
Transport	• Transport (dose is placed inside a plastic sealable bag): Double bag Single CX gloves
Nursing: Storage / Admin. Exposure Risk: moderate	• Handling/administration PPE Requirements: Double CX glove, gown
	• Storage of Finished dose in Nursing Area/Procedural Area: Picked up from Pharmacy
	• Signage on Patient Door Required: Yes
	• Manipulation of Dosage Form: 1 vial per syringe - label accordingly
	• Special Manipulation for Administration: n/a
Disposal / Spills	• Disposal of Drug Waste: Full- black bin Trace- yellow bin
	• Disposol of Used PPE: Yellow bin
	• Spill management: Wear CX gloves ; items used to clean up spill should be placed in a sealed bag and put in yellow bin
Reason for exemption of USP<800> Containment Requirements: The act of drawing up an IM dose of methotrexate and giving it immediately is considered administration.

Adult Extravasation Management
Generic (Brand)	Vesicant / irritant	Local Care
methotrexate (Otrexup, Rasuvo)	N/A	Warm compress

Last updated: Apr. 4, 2024

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Memorial Hospital.
While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.