PHARMACY
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If you have any questions about medication call the Medicine Pharmacist
(5-6150).
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If you need a drug stat, you can get it most quickly by picking it up yourself
from the Pharmacy on Osler 2 next to the Osler elevators.
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IV push Medications that must be
given by a physician and cannot be given by a non-ICU nurse include some
narcotics, digoxin, diltiazem, adenosine, beta-blockers, and haldol.
- Discharge medications are written on the white
prescriptions. Narcotic scripts on pink
narcotics scripts which you can ask the nurses for.
Pharmacy
Orders
QAM = 8 AM, QD = 10 AM, QPM = 6 PM, QHS = 10 PM, BID = 10 AM & 10 PM, ONCALL = the next 6AM, Warfarin standard time: 6 PM.
Routine = starts at next administration time for
that schedule
Nroutine =
starts with a now dose, then continues on standard times
Orders for ID approval drugs received between 8AM and
11PM require either ID approval or a correctly-completed ID Approval Form. The medications will not be sent without one
of them. The ID Approval Pager is on
Pagerbox. Drugs that require approval:
Amikacin, tobramycin, Azithromycin
(except weekly MAC prophylaxis), All third-generation cephalosporins, Fluconazole (except single dose
treatment for vaginal candidiasis), Fluoroquinolones
(gatifloxacin, ciprofloxacin, norfloxacin),
Lipid/liposomal amphotericin (additional form required for ordering), pipercillin/tazobactam, Imipenem/meropenem, Vancomycin (also needs a special vanc
form), all non-formulary antibiotics
(nafcillin, Timentin, cefotaxime, Unasyn).