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Pharmacy Collection Process for Critical Care

TOstryzniuk 13:23, 10 July 2008 (CDT) Hi....

   * I have a couple of things that I would like to get clarified. 

  1. Imipenem is listed on the pharmacy list of drugs. I have not seen this used in a long time but they are using meropenem. I gather that I should be capturing meropenem, is this correct?
  2. Second, I was going over things with Jan Kothuber because she is going to help Chris Scoville cover for me while I am on vacation and an interesting discovery was made. 

   * Jan was orientated to count bags signed for on the medication sheet when it comes to inotropes and to calculate the amount of drug used that way regardless if the entire bag was used before hanging another or when it was discontinued.
   * I was orientated to add the amount of the drug used indicated on the in and out sheet and calculate how much of the drug was actually used that way. One is easier than the other but one is more accurate than the other.
   * Can you clarify which way you would like it to be done? 

Thanks, Mary Lou

Hi....

   * I just received a phonecall from Jan Kothuber about the IV drug calculations.
   * I know I am on holidays but I just want to clarify what we have been doing at the VIC since we started data collecting. Norine does it the exact same way. 

  1. When an IV dug is mixed in a sage, or drip, ou use a vial, let's say amiodorone 300 to add to the bag. We would calcualte that as 1 dose for the one day (if they only hung one bag) If there were consecutive bags it would be 2 or 3 or however many bags over however many days. We were told in orientation it was was cost measures. So it didn't matter how much of the bag was used up , we still had used up the vial, it can't be used for anyone else............ 

It's easier to figure out oral meds in a more exact mgs. The only exception was propofol where we had to figure out the exact amount of mgs.

Anyway, this is what I had told Jan during her orientation.

So just so you exactly how you told us a long, long, long time ago.

Jackie W.