• San Diego, CA and Cheyenne, WY
    • 760.705.4078
    • tvidals@rxpert.solutions

Hospitals Must Employ Safeguards to Prevent Drug Diversion

“Prevention is better than cure,” the Dutch philosopher Desiderius Erasmus once observed.    Clearly, Erasmus’ maxim – first mentioned in the 1500s – had staying power: the phrase is now ubiquitous in healthcare circles and healthy-lifestyle campaigns.  Application of the “prevention principle,” however, has been the real challenge. Nowhere is this more evident than in the […]

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Extraordinary Compliance Requirements

Sovah Health has agreed to pay $4.36 million to settle claims that the hospital system violated the Controlled Substance Act. The violations occurred between 2017 and 2020 with two employees, in separate independent schemes, diverting controlled substances. Both plead guilty and are being sentenced to time in federal prison. By now, we are used to […]

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Do Your Staff Know How to Check for Tampering?

All across the country, pharmacy staff are picking up returned controlled substances and placing them back into pharmacy stock. They are removing them from automated dispensing machine return bins and placing them back into the dispensing pockets. Prior to placing the medication back into stock for dispensing, are they checking the item to confirm there […]

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Including the Infection Prevention Department

Do you have a solid drug diversion monitoring program? If you said yes, that’s great! For those of you that do have a monitoring program, how many of you have participation from the Infection Preventionist (IP) during a suspected case involving injectable medication? Any time there is diversion that involves injectable medications, we need to […]

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Education Surrounding a Facility’s Diversion Program

An important component to a comprehensive diversion program is educating staff on the elements of the program. Education surrounding what diversion looks like, why prevention measures need to be put in place, why monitoring for diversion is important, and the expectations of staff. Additional education is needed for supervisors and managers that will be reviewing […]

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Medication Error Experience Update

Some of you may recall my previous blog telling of a medication error that happened to someone close to me. I sat in the car (couldn’t go in because of COVID-19 precautions) while they were in the urgent care where they received an IM injection of ceftriaxone in a volume of 10 ml. A recap […]

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Solid Process for Receiving Recall Alerts and Taking Action

In the last few days, I have seen two potentially serious recall alerts from the FDA; a mix up in labeling between Amiodarone HCl Injection and Tranexamic Acid Injection as well as a Class I recall due to hardware issues for BD Alaris System infusion pumps. How solid is your process regarding being informed of […]

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Voluntary Error Reporting

How well is your facility doing when it comes to staff voluntarily reporting adverse events and medication errors?  Voluntary reporting should not be the sole means by which we identify areas for improvement, but it is a valuable avenue, and reporting should be the expectation. At one point, I was part of a regulatory prep […]

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Patients are Real People with Real Stories

Nurses and physicians are reminded every day that patients are real people, just like them, with real stories. Pharmacy staff, however, may need a little more reminding. Unless a pharmacist or technician has a role that brings them into regular contact with patients, we may need the reminder that on the other side of the […]

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How Well Have You Explained the Expectations?

I am a firm believer in explaining the big picture and the root of why people do certain things. I think that is especially important when it comes to medication safety initiatives and processes that have been put in place to improve safety. If we don’t explain the big picture of why, we risk staff […]

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San Diego CA and Cheyenne, WY

  • 760.705.4078
  • tvidals@rxpert.solutions