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Compounded Drugs
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Compounded Drugs

Does your facility use compounded drugs?  Do you get them from an FDA registered 503B outsourcing facility? According to a recent report from the U.S. Department of Health and Human Services Office of Inspector General, about 11% of hospitals get compounded drugs from sources that are not registered with the FDA.

Medication Safety Quiz
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Medication Safety Quiz

In our most recent newsletter issue and during our customer visits, we have shared our updated "Med Safety Quiz".  The quiz is designed to actually "teach rather than trick".  If you’d like to try these questions and then check your answers, please reach out to us for more details. 

Medication Storage Guidance
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Medication Storage Guidance

One of the key components for meeting the CMS requirements for the proper provision of pharmaceutical services is the requirement to properly store medications.  First, we address the general requirements of medication storage.  Second, we address the specific requirements for medication rooms and refrigerators. According to F-Tag 761, facilities must store all drugs and biologicals...

Medication Rooms and Refrigerators
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Medication Rooms and Refrigerators

Ensuring a medication room is always ready for survey requires minimal effort but requires constant vigilance. Starting with security, medication storage areas must be locked when not being accessed by an authorized person.  Schedule II-controlled substances must be maintained within a separately locked permanently affixed compartment (double lock requirement). Proper labeling is also required for...

Unnecessary Drugs
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Unnecessary Drugs

One of the areas often cited under Pharmaceutical Services during survey is Unnecessary Drugs, which now falls under F757 in the updated State Operations Manual (SOM). The F-Tag states that “Each resident’s drug regimen must be free from unnecessary drugs”. The term Unnecessary Drug is often misunderstood, incorrectly used and poorly applied. Upon hearing it...

Practical examples of Unnecessary Drugs
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Practical examples of Unnecessary Drugs

The most obvious example of a situation that could include an Unnecessary Drug is when a patient is admitted or a new medication is started and a proper diagnosis is not noted in the medical record. We encourage you to add all diagnoses to one central list, even if the diagnosis can be found in...

New Clostridium Difficile Guidelines
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New Clostridium Difficile Guidelines

A lot has changed in the diagnosis and treatment of Clostridium Difficile Infection (CDI) since the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) last published guidelines in 2010. The new guidelines recommend the development of an antibiotic stewardship program, which should focus on reducing the frequency and...

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