Drug Diversion - Now it's a Problem!
You may have heard me say it before. "It's not a problem, until it's a problem." And every time I think I've said all there is to say...
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Lesley Richards
Sep 24, 20202 min read
SUGAMMADEX AND A HIDDEN SIDE EFFECT
Sugammadex, or Bridion, has recently increased greatly in popularity. The drug is used for rapid-reversal of neuromuscular blockade...
1,061 views0 comments
Lesley Richards
Sep 24, 20202 min read
IV Pump or No Pump?
Some JDJ Consulting clients ask, "Why do we sometimes see different pharmacists during our inspections? Why doesn't the same pharmacist...
315 views0 comments
Lesley Richards
Sep 24, 20203 min read
Narcotic Diversion Prevention
Over the last 5 years I have focused on narcotic diversion prevention. In 2018 a national report stated that over 30 million doses of...
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Lesley Richards
Sep 24, 20204 min read
Choosing the right Compounder!
It's been a while since we talked about compounding. Like all healthcare topics, it's great to revisit old information and update it, or...
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Lesley Richards
Sep 24, 20203 min read
Safe Administration of Vancomycin
My team of pharmacists and I are always on the lookout for ways to enhance medication safety in your ASC. Sometimes I notice a routine...
12,204 views0 comments
Lesley Richards
Sep 24, 20202 min read
USP <800> Crash Course
USP General Chapter <800> is a set of guidelines for manipulation and handling of Hazardous Drugs (Hazardous Drugs = harmful to people)....
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Lesley Richards
Sep 24, 20202 min read
The Escalation of Drug Diversion
Narcotic diversion prevention is extremely important to me. I have worked with hospitals and surgery centers for many years to minimize...
30 views0 comments
Lesley Richards
Sep 24, 20202 min read
What CMS has to say aboutdrug security
When I talk about the security of medication, specifically controlled substances, most people immediately think of the DEA. On occasion,...
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Lesley Richards
Sep 24, 20202 min read
Drug Recalls
Just about everyday I receive an email from the FDA titled Recalls. If you don't have time to read every one of the many newsletters,...
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Lesley Richards
Sep 24, 20202 min read
USP <797> Compliance
Although USP <797> sounds like an obscure regulation for compounders and manufacturers, it's actually something surgery centers need to...
123 views0 comments
Lesley Richards
Sep 24, 20203 min read
Pre-Filled Syringes in the OR
Making the switch to pre-filled syringes (PFS) is a complex decision. You'll have to consider many factors, including budget, staffing,...
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Lesley Richards
Sep 24, 20202 min read
Controlled Substance Audits
Sometimes being a good manager means being part detective. If you feel a little like Sherlock Holmes some days, you're not alone!...
102 views0 comments
Lesley Richards
Sep 24, 20202 min read
Formulary Additions + Deletions
Drug availability is constantly changing. Shortages, back orders, and new drugs coming to market are all factors that keep purchasers on...
192 views0 comments
Lesley Richards
Sep 24, 20201 min read
Expiration Dates
I'm often asked to clarify expiration dates. Unfortunately, there are many different ways that manufacturers can write the expiration...
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Lesley Richards
Sep 24, 20202 min read
CONCENTRATED ELECTROLYTES
Concentrated electrolytes are considered High Alert drugs due to the elevated risk of causing serious patient harm if used improperly. I...
6,462 views0 comments
Lesley Richards
Sep 24, 20201 min read
ALLERGY DOCUMENTATION IN THE MEDICAL RECORD
Early in my career, I was given some great advice... "Document, document, document". Correct and complete documentation is essential to...
2,754 views0 comments
Lesley Richards
Sep 24, 20202 min read
BIENNIAL NARCOTIC COUNTS
What exactly is a biennial narcotic count? Why do we have to perform them? And how are they done? The word biennial should not be...
1,036 views0 comments
Lesley Richards
Sep 24, 20201 min read
It's time to re-evaluate your narcotic inventory log
Diversion is an uncomfortable topic to discuss. When we discuss diversion prevention, we're really saying that it's essential to...
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Lesley Richards
Oct 4, 20181 min read
SURGICAL PROPHYLAXIS GUIDELINES FOR CEFAZOLIN (ANCEF)
ADULTS For most surgical procedures, joint clinical practice guidelines from the American Society of Health-System Pharmacists,...
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