Page 30 - Christiana Care Focus November 2018

Pharmacy Services |
Formulary Update | September 2018
Medication – Generic/Brand Name
Capsaicin Cream
Fidaxomicin/Dificid
Saw Palmetto
Fenofibrate Tablet Interchange
Strength/Size
0.075% 57 gm tube
200 mg tablet
Use/Indication
Treatment of cannabinoid hyperemesis syndrome
Treatment of Clostridium difficile infection
Comment
Prescribing limited to infectious disease physicians
Low use and minimal evidence for indication it is prescribed
• Fenofibrate tablets 35 to 67 mg daily → Fenofibrate 48 mg tablet daily
• Fenofibrate tablets 80 mg to 96 mg once daily → Fenofibrate 48 mg tablet twice daily
• Fenofibrate tablets 108 mg to 145 mg at any frequency → 145 mg at the same frequency
• Fenofibrate tablets 150 mg to 200 mg at any frequency → Fenofibrate 160 mg at the same frequency
B E S T P R A C T I C E R E V I E W : Find It ... Fix It . Cardboard Storage Boxes
Q. Can I use corrugated cardboard boxes to store supplies in our clean supply room?
A. NO. Corrugated cardboard boxes cannot be used for storage in clean/sterile supply rooms or in patient care areas.
Q. Why can’t the original cardboard shipping box be used to store supplies?
A. Packing boxes/corrugated boxes are exposed to dirt, dust, moisture, water, vermin and bacteria from warehouses, transportation environments and loading docks. They cannot be cleaned or disinfected. Corrugated cardboard is known to serve as a reservoir for silverfish, roaches, termites and other pests.
Q. What should I do if my patient care supplies arrive to my department in a cardboard shipping box?
A. Remove the items from the box and store on shelving unit or in a plastic bin. Any instructions for use accompanying the items should be kept with the items.
Q. Can office supplies be stored in a cardboard box?
A. The Supply Storage policy addresses all supplies stored in clean medical supply rooms and patient care areas, not office supplies stored in offices. 
28 CHRISTIANA CARE HEALTH SYSTEM
If you have questions about this Best Practice Review, please contact the Content Experts Infection Prevention Department: 733-3506; or call the Safety Hotline: 7233 (SAFE) from within Christiana or Wilmington hospitals; from outside call 623-7233 (SAFE).
ADDITIONS DELETIONS
MEDICATION POLICY CHANGE