Ross Memorial Hospital Safe Pharmacotherapy Committee

Summary of Accomplishments

YEAR FORMULARY CHANGES ORDER SETS & OTHER GUIDELINES 2007 Slow K tablets - delete Interchange for oral KCl Terms of Reference Nitro tabs –delete H2 Antagonist interchange Ampicillin po – delete NTG oint - delete Oxytriphylline - delete Chloramphenicol oint - delete Magnolax - delete Locacorten-Vioform – delete Famotidine – delete Nizatidine – delete 2008 Oral meperidine – delete PPI interchange Terms of Reference Pentazocine – delete Nitrofurantoin interchange Membership Propoxyphene – delete Standardized IV KCl Lansoprazole Nifedipine capsules – delete Tramacet Ferrous Fumerate 2009 Flurazepam – delete Common drug interactions Standard med times Chlorazepate – delete Influenza order set Medication Chlordiazepoxide – delete Interchanges for Tiazac, reconciliation Quetiapine metoprolol LA, propranolol Nebulized medications Picosalax LA, valproic acid ASO for indomethacin Cefprozil liq CDAD order set Backordered meds Guaifensesin liq PPI & Plavix Dextromethorphan liq Formulary Policy & Rivaroxaban (Xarelto) Procedure Pantoprazole CCHSA standards Topical agent review Norfloxacin – delete PEG 3350 Phenazopyridine – delete Procainamide – delete Oral Fleet – delete Flavoxate – delete Cicatrin powder –delete Sulindac – delete Bevacizumab 2010 Mucositis mouthwash Warfarin Over- Meds via ET Magic mouthwash anticoagulation cMARs & unit dose EENT Review Fenofibrate interchange Unacceptable orders Dronedarone (Multaq) Cipro interchange Orders with no route Orphenadrine – delete EENT interchanges Accreditation stds Selegiline – delete ET medication interchanges MD access to Meditech Mefenamic acid – delete Enteral feed order set IV Drug Policy Hydroxyzine inj – delete Methadone order set Enoxaparin dosing Risperidone Consta Rivaroxaban experience Carbetocin Nitroprusside – delete Psychiatry drug review 2011 5-ASA product review TPN order set Medication order policy ACE Inhibitor review Octaplex Order set & procedure Bisphosphonates Reversal of Dabigatran Top 10 Drugs Nicotine inhaler HIT guidelines IV to PO Stepdown Fondaparinux Smoking Cessation Order Unacceptable orders Thiopental – delete Set Std Antibiotic doses Nitrazepam – delete Therapeutic Interchanges IV Drug Policy Dabigatran (Pradax) 2012 2nd Generation MTX in Ectopic Pregnancy Bedside Meds antihistamines Methadone Patients’ Own Meds DigiFab vs DigiBind Sepsis Hazardous Drugs Kayexalate enemas - delete BBC Insulin Sample Medications Atracurium – deletion Constipation management TPN Policy & Proc Pancuronium – deletion General Medicine Unacceptable orders Insulin review Admission Diabetes Inpt service LMW Heparin review Therapeutic Interchanges Terms of Reference Aripiprazole (Abilify) NRT costs Ziprasidone (Zeldox) Hydromorphone dosing Ondansetron ODT issues Granisetron – delete Drug shortages & Codeine inj - delete specific strategies Multivitamins with minerals Smart pump policy Cefotaxime “Meds as at Home” Meperidine inj- deletion Formulary procedure Tinzaparin - deletion Top 10 Drugs Oral hypoglycemic review 2013 Carbapenum review Guidelines for Opioid High Alert Drugs OxyNeo vs OxyContin Intolerance Unsafe Abbrev List Dronedarone -deleted Pediatric Medication Smart Pump limits Prostin Gel Dosing IV Drug Policy Prasugrel (Effient) Prevention of VTE ASP Subcommittee Infliximab (Remicade) Holding Metformin after CT Automated Stop Date Adalimumub (Humira) Total Parenteral Nutrition ASA supp – deleted Heparin IV Probiotics Therapeutic Interchanges