Pharmacy Things to Know - Revision history

LiamG: /* Vancomycin vs Clindamcyin */

2025-09-16T22:59:08Z

Vancomycin vs Clindamcyin

← Older revision		Revision as of 22:59, 16 September 2025
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	===Vancomycin vs Clindamcyin===		===Vancomycin vs Clindamcyin===
	Of note, our clinda usage rates are increasing. From 2017 to 2019, the MRSA sensitivity to clinda went from 99% to 91% on the antibiograms. Use clinda with caution, document why you’re using it, and know that ASP is tracking usage closely. (Resources: [[media:Antibiogram.pdf\|Antibiogram]], [[media:SSTI.pdf\|Skin and Soft Tissue Infection YKHC Clinical Guideline]], [[~~Antibiotic~~ Stewardship\|~~Antibiotic~~ Stewardship ~~Program (ASP)~~]])		Of note, our clinda usage rates are increasing. From 2017 to 2019, the MRSA sensitivity to clinda went from 99% to 91% on the antibiograms. Use clinda with caution, document why you’re using it, and know that ASP is tracking usage closely. (Resources: [[media:Antibiogram.pdf\|Antibiogram]], [[media:SSTI.pdf\|Skin and Soft Tissue Infection YKHC Clinical Guideline]], [[Antimicrobial Stewardship\|Antimicrobial Stewardship]])

	===Cefdinir===		===Cefdinir===

JenniferH: /* Outside Hospital Discharge Medication Prescriptions */

2020-11-11T01:21:26Z

Outside Hospital Discharge Medication Prescriptions

← Older revision		Revision as of 01:21, 11 November 2020
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	[[:category:Pediatrics\|Pediatrics Main Page]]		[[:category:Pediatrics\|Pediatrics Main Page]]
	<br/>[[Pharmacy Main Page]]		<br/>[[Pharmacy\|Pharmacy Main Page]]

JenniferH: /* Outside Hospital Discharge Medication Prescriptions */

2020-11-11T01:20:54Z

Outside Hospital Discharge Medication Prescriptions

← Older revision		Revision as of 01:20, 11 November 2020
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	[[:category:Pediatrics\|Pediatrics Main Page]]		[[:category:Pediatrics\|Pediatrics Main Page]]
			<br/>[[Pharmacy Main Page]]

JenniferH: /* Synagis */

2020-11-11T01:18:11Z

Synagis

← Older revision		Revision as of 01:18, 11 November 2020
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	===Synagis===		===Synagis===
	Every chronic pediatric patient under 24 months old is screened before RSV season starts for Synagis eligibility. The screening forms are placed in a communication note that is saved to the chart. If the patient is eligible, a problem is added to the Problem List and the administration is managed by Outpatient Pharmacists.		Every chronic pediatric patient under 24 months old is screened before [[Bronchiolitis / Wheezing – 3-24 Months\|RSV]] season starts for Synagis eligibility. The screening forms are placed in a communication note that is saved to the chart. If the patient is eligible, a problem is added to the Problem List and the administration is managed by Outpatient Pharmacists.

	===Pediatric Seizure Kit===		===Pediatric Seizure Kit===

JenniferH: /* Cefdinir */

2020-11-11T01:16:49Z

Cefdinir

← Older revision		Revision as of 01:16, 11 November 2020
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	===Cefdinir===		===Cefdinir===
	As of 2019, this medication has been available in the villages for the treatment of AOM in the setting of recurrence or Amoxicillin allergy. Studies show that over 85% of Amoxicillin Allergy reports are not true allergy and being labled Allergic to a pencillin increases mortality. Therefore, if you see a child for AOM with Amoxicillin Allergy listed, make sure to review and confirm if true allergy is present using the Amoxicillin Allergy YKHC Clinical Guideline.		As of 2019, this medication has been available in the villages for the treatment of AOM in the setting of recurrence or Amoxicillin allergy. Studies show that over 85% of Amoxicillin Allergy reports are not true allergy and being labled Allergic to a pencillin increases mortality. Therefore, if you see a child for AOM with Amoxicillin Allergy listed, make sure to review and confirm if true allergy is present using the [[media:Amoxicillin_allergy_trials.pdf\|Amoxicillin Allergy YKHC Clinical Guideline]].

	===Synagis===		===Synagis===

JenniferH: /* Vancomycin vs Clindamcyin */

2020-11-11T01:14:42Z

Vancomycin vs Clindamcyin

← Older revision		Revision as of 01:14, 11 November 2020
Line 41:		Line 41:

	===Vancomycin vs Clindamcyin===		===Vancomycin vs Clindamcyin===
	Of note, our clinda usage rates are increasing. From 2017 to 2019, the MRSA sensitivity to clinda went from 99% to 91% on the antibiograms. Use clinda with caution, document why you’re using it, and know that ASP is tracking usage closely. (Resources: ~~antibiogram~~, SSTI ~~guideline~~, Antibiotic Stewardship Program (ASP)!)		Of note, our clinda usage rates are increasing. From 2017 to 2019, the MRSA sensitivity to clinda went from 99% to 91% on the antibiograms. Use clinda with caution, document why you’re using it, and know that ASP is tracking usage closely. (Resources: [[media:Antibiogram.pdf\|Antibiogram]], [[media:SSTI.pdf\|Skin and Soft Tissue Infection YKHC Clinical Guideline]], [[Antibiotic Stewardship\|Antibiotic Stewardship Program (ASP)]])

	===Cefdinir===		===Cefdinir===

JenniferH: /* Outside Hospital Discharge Medication Prescriptions */

2020-11-11T00:19:27Z

Outside Hospital Discharge Medication Prescriptions

← Older revision		Revision as of 00:19, 11 November 2020
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	When taking a phone call about a patient being discharged or reviewing discharge notes from another hospital, update medication list with all new prescriptions. If the outside hospital is providing the initial supply, document in "note to pharmacy: do not fill until family calls for refills."		When taking a phone call about a patient being discharged or reviewing discharge notes from another hospital, update medication list with all new prescriptions. If the outside hospital is providing the initial supply, document in "note to pharmacy: do not fill until family calls for refills."

	[[:category:Pediatrics]]
			[[:category:Pediatrics\|Pediatrics Main Page]]

JenniferH: /* How to remove an allergy banner on YKHC Electronic Health Record */

2020-11-11T00:18:18Z

How to remove an allergy banner on YKHC Electronic Health Record

← Older revision		Revision as of 00:18, 11 November 2020
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	If you think a patient needs continuous albuterol, consult respiratory therapy. They do have equipment required in their stockroom. Of note, most patients requiring continuous albuterol require transfer to Anchorage.		If you think a patient needs continuous albuterol, consult respiratory therapy. They do have equipment required in their stockroom. Of note, most patients requiring continuous albuterol require transfer to Anchorage.

	===~~[[How to remove an allergy banner]] on YKHC Electronic Health Record~~===		===Outside Hospital Discharge Medication Prescriptions===
			When taking a phone call about a patient being discharged or reviewing discharge notes from another hospital, update medication list with all new prescriptions. If the outside hospital is providing the initial supply, document in "note to pharmacy: do not fill until family calls for refills."
	*Click the allergy on the banner bar.
	*Select the allergy and click Modify.
	*Change the ~~status from “active” to “cancelled.” In~~ the ~~next box~~, ~~choose a reason like “OK on retrial~~.”
	*Click Apply and Okay.
	*Done!

	[[:category:Pediatrics]]		[[:category:Pediatrics]]

JenniferH: /* Synagis */

2020-11-11T00:14:13Z

Synagis

@@ Line 48: / Line 48: @@
 ===Synagis===
 Every chronic pediatric patient under 24 months old is screened before RSV season starts for Synagis eligibility.  The screening forms are placed in a communication note that is saved to the chart.  If the patient is eligible, a problem is added to the Problem List and the administration is managed by Outpatient Pharmacists.
 ===[[How to remove an allergy banner]] on YKHC Electronic Health Record===

JenniferH: /* Cefdinir */

2020-11-11T00:04:18Z

Cefdinir

← Older revision		Revision as of 00:04, 11 November 2020
Line 45:		Line 45:
	===Cefdinir===		===Cefdinir===
	As of 2019, this medication has been available in the villages for the treatment of AOM in the setting of recurrence or Amoxicillin allergy. Studies show that over 85% of Amoxicillin Allergy reports are not true allergy and being labled Allergic to a pencillin increases mortality. Therefore, if you see a child for AOM with Amoxicillin Allergy listed, make sure to review and confirm if true allergy is present using the Amoxicillin Allergy YKHC Clinical Guideline.		As of 2019, this medication has been available in the villages for the treatment of AOM in the setting of recurrence or Amoxicillin allergy. Studies show that over 85% of Amoxicillin Allergy reports are not true allergy and being labled Allergic to a pencillin increases mortality. Therefore, if you see a child for AOM with Amoxicillin Allergy listed, make sure to review and confirm if true allergy is present using the Amoxicillin Allergy YKHC Clinical Guideline.

			===Synagis===
			Every chronic pediatric patient under 24 months old is screened before RSV season starts for Synagis eligibility. The screening forms are placed in a communication note that is saved to the chart. If the patient is eligible, a problem is added to the Problem List and the administration is managed by Outpatient Pharmacists.

	===[[How to remove an allergy banner]] on YKHC Electronic Health Record===		===[[How to remove an allergy banner]] on YKHC Electronic Health Record===