HUNTSVILLE HOSPITAL PHARMACY
STERILE PRODUCTS UPDATE

November 2017

Pharmacy Sterile Products Newsletters Docushare Archive

Baxter IV Fluid Backorders

All NS and D5W 25 mL, 50 mL and 100 mL bags are on backorder. In addition NS 250 mL is also on backorder. All Mini-Bag Plus 50 mL and 100 mL are on backorder. We are working with Logistics and nursing to plan next steps.

Multitrace-5 for Adult TPNs

The adult Multitrace-5 now being used on the TPN compounder contains the following per mL:

Zinc 1 mg
Copper 0.4 mg
Manganese 0.1 mg
Chromium 4 mcg
Selenium 20 mcg

Mini-Bag Plus Alternate Plans

Current plan (subject to change soon)

NS 100mL ADDVantage:

Zosyn 3.375 g
cefTRIAXone 1 g
cefTRIAXone 2 g (exception: OPM-1 and Madison are using D5W mini-bag plus for now)

Merrem and Invanz
NS 100 mL MBP – send all from PSP on batch

All other MBP Drugs are D5W or NS which is available in pyxis machines

Drawing up antibiotics in syringes by PSP or by nursing may happen at some point, stay tuned for updates!

Nimbex 200 mg/20 mL vials

When ordering cisatracurium (Nimbex) to refill the PSP refrigerator, ensure only the 10 mg/mL vials are picked. PSP should not have 2 mg/mL vials unless the 10mg/mL are out of stock.

Morphine Batches- Expiration Dating

When pulling a morphine drip out of PSP Pyxis start placing 48 hour expiration on the iCare label. USP 797 allows maximum of 48 hour expiration for products stored at room temperature.

Cyanokit on RTU wall

Cyanokit for CVOR has been moved to the RTU wall. The U2/T2 will pick from the central pharmacy carousel to refill the bin.

Isuprel Syringe Change

Issues continue with isuprel syringes stocking out in EP lab. A Pyxis minimum count is set at 2 and a label will print on PSP batch when it reaches that point. When the label prints, make a batch of 5 more syringes and place in refrigerator for M3 to deliver that night. The M3 will need to check the EP-Lab 2 pyxis for expiring meds each day. A report will print to the PSP resupply printer with the current pyxis expiration date at 7 PM.

DRUG UPDATE

sincalide - backorder
morphine injection – backorder
sodium phosphate – backorder
Bupivacaine and lidocaine with epinephrine- backorder (small supply on hand)
Amicar – on backorder
erythromycin 500 mg vials – on backorder
Mini-Bag Plus NS 100 mL– on backorder
vancomycin 1g & 750 mg AddVantage vials –backorder
folic acid – use only in banana bags, will likely be out within a week.