Page 34 - Christiana Care Focus December 2018

Pharmacy Services |
Formulary Update | October 2018
Medication – Generic/Brand Name
Tisagenlecleucel/Kymriah
Palonosetron Injection/Aloxi
Strength/Size
Not Applicable
Use/Indication
• Treatment of B-cell precursor acute lymphoblastic leukemia that is refractory or in second or later relapse in patients up to 25 years of age
• Treatment of relapsed or refractory large B-cell lymphoma in adults (after two or more lines of systemic therapy), including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, high-grade B-cell lymphoma, and DLBCL arising from follicular lymphoma
Comment
• Use limited to FDA-labeled indications
• Prescribing limited to authorized providers
Triamterene 100 mg capsule
Vitamin A, D & C Liquid / Tri-Vi-Sol
Zeasorb powder
Removed because of low utilization. The 50 mg capsule remains available on the CCHS Formulary.
Removed because of low utilization
Removed because of low utilization
BEST PRACTICE REVIEW: OxygenConnectors . Q. Why have we changed to metal oxygen connectors? Q. Are the new metal oxygen connectors MRI safe?
A. The new metal oxygen connectors are labeled for multi-patient A. No. The new oxygen connectors are not MRI safe. MRI must
use and can be disinfected after patient use. The green plastic oxygen connectors are labeled as single use devices and cannot be reused.
Q. Can I reuse the green plastic oxygen connector if I clean it with a PDI wipe?
A. No. The green oxygen connectors are for single patient use and cannot be properly disinfected.
Q. How do I disinfect the metal oxygen connector?
A. The metal oxygen connector will remain in the patient room and will be cleaned by Environmental Services when the room is turned over. For the outpatient offices that use the metal oxygen connector, staff will need to disinfect the oxygen connector after patient use before returning oxygen cylinder to storage area.
32 CHRISTIANA CARE HEALTH SYSTEM
continue to use the current green plastic oxygen connectors and discard after each patient use.
Q. What should I do with the green plastic oxygen connectors that are currently in my department?
A. Credit will be issued for unused oxygen connectors. Inpatient departments can place unused green oxygen connectors in the return bins, along with a completed credit form. Offices located offsite can return unused plastic oxygen connectors through their usual return process. 
If you have questions about this Best Practice Review, please contact the Content Expert: Beth Rathmanner 623-3639; or call the Safety Hotline, 7233 (SAFE) from within Christiana or Wilmington hospitals; from outside call 623-7233 (SAFE).
ADDITIONS
MEDICATION NOT ADDED TO FORMULARY
DELETIONS