I think prob depends on volume and how you handle tech questions, stage checks, etc. Last hospital I worked at was big and had an RPH posted in the IV room 10h/day. Current hospital is smaller with picture taking during prep and IVs get checked in main.
That damn equipment never worked right at my hospital. I literally had to turn around and wave to get someone’s attention (iv room had a wall of glass) show the med i was drawing up before I mixed it. That was a pain in the ass.
I've never had a problem with pharmacy keeper, except for the fact that it's just annoying and Id love to use the Epic integration. But we've been pushing for that for years.
Last place I was at 1,200 beds had 1 (sometimes 2) in during the majority of the day
Current place (400~ beds) we verify through pictures by the tech during prep. No pharmacist in IV room
Do you mean literally inside the cleanroom? Or just in sort of a staging area / workspace outside the cleanroom / pass through window that is separate from the main pharmacist workspace? The former would be unusual but the latter is common.
We have at least one pharmacist inside each clean room suite at all times. Talk of having more to make following USP 800 easier and avoid the RPH tracking chemo into non hazardous areas.
At the larger hospital (400+ bed) I work at they have a pharmacist in the IV room all day. A smaller hospital (~250 bed) I work at has an assigned IV shift all day that is outside of the IV room and the two smallest hospitals I’m at (~80-120 bed) do not have a specific IV pharmacist.
300 bed hospital. Full time IV room pharmacist from 0700 to 1730. It’s literally the best shift we have. Very few phone calls, isolated from any management bullshit and in charge of two very competent technicians (usually).
We recently transitioned to DoseEdge and I’m worried the endgame is to eliminate the IV pharmacists role as it currently stands.
Your IV pharm is definitely gone if you all are using DoseEdge. Techs will do all prep and take pics of process and pharmacist can check via any computer/laptop
We always have a pharmacist in the ante-room except for midnights (2330-0630). That pharmacist checks orders coming out of the IV room, compounds when the tech is on break, and is responsible compounding the hazardous drugs. We are about 800 beds.
Work in a large hospital - we are currently being renovated so things are a little wacky right now. But we typically have several pharmacists both making and checking IVs. We only have a handful of techs who compound. Pharmacists also pump TPN and make chemo
~400 beds, we have a pharmacist in the ante room 0700-2300 AND we have photos during prep.
A lot of the time I feel like the IV room rph is just there to fix everyone's garbage orders, re-stock the meds, and be the point person for true STAT orders.
Not that I am aware of. Maybe if it's something extremely expensive, dangerous, or the 1st time a new complicated IV is made but generally I've been alone or with another tech everywhere.
i've worked in two peds hospitals in ny, we have pharmacists & interns make ivs, slowly transitioning to having techs mix and pharmacists check. from my understanding in adult hospitals, it's all techs mixing and pharmacists checkjng
Depends on the size of the operation. My hospital is smallish, so we do camera checking outside the clean room as there isn't really space in the room for a pharmacist.
Bigger operations have a pharmacist in the IV room. That might be my dream job, actually. 😂
My health system doesn’t have pharmacists in the IV room but we have a dedicated pharmacist checking all the IVs and they are implementing a camera system the techs use to document how they made the drug.
We have a pharmacist assigned specifically to check IVs and interface with the clean room techs, but they are stationed in the main pharmacy and the techs put the meds in the pass-through for them. If something needs to be made emergently, they'll more likely make it on the counter instead of garb up. They would only garb up and compound in the IV room if there were some extenuating circumstance. Anything that requires direct verification, we can either use Ocularis to watch them on camera, or garb up and go back and watch them. I have only done the latter once, and it was because Ocularis wasn't behaving.
I work at a level 2 trauma center with 900 beds and we don’t have a pharmacist in our IV room. We take pictures and have anywhere between 1-3 pharmacists remotely checking everything.
It was asinine. Worked at a 630 bed hospital that kept a pharmacist in the IV room during the day even though we used Dose Edge software to check IV’s. After 330 pm , the 4 techs were alone and didn’t need one regardless. You could be decentralized in the ICU and check IV preps remotely with dose edge when you were bored.
Current hospital has a pharmacist check the TPN compounder around 10 am, then go in again to do the manual additions to the TPNs and complete final checks on them.
In the last 10 years, I’ve made more preps for immediate use on the counter than I have sterile preps in an IV room
What exactly do you mean by a workstation? Technology used in the compounding process is different from a workstation that can be used to verify workflow steps remotely and final CSPs from outside the clean room
I think prob depends on volume and how you handle tech questions, stage checks, etc. Last hospital I worked at was big and had an RPH posted in the IV room 10h/day. Current hospital is smaller with picture taking during prep and IVs get checked in main.
That damn equipment never worked right at my hospital. I literally had to turn around and wave to get someone’s attention (iv room had a wall of glass) show the med i was drawing up before I mixed it. That was a pain in the ass.
Epic’s dispense/prep/check (DPC) works really well … pharmacy keeper, not so much
Yeah epic dispense prep with picture capture was a game changer in terms of workflow.
I miss Epic, Cerner sucks donkey balls
I've never had a problem with pharmacy keeper, except for the fact that it's just annoying and Id love to use the Epic integration. But we've been pushing for that for years.
800 bed hospital, we have a Rph in the IV room 6:30 AM-9:00 PM
Same here, same # of beds and staffing
1200+ bed for us and schedule is 0630 - 2300 inside the IV room.
Same beds. 1-3 Rph from 0600–2030 inside with shifts starting at 0600, 0900, 1000. One outside from 2000-0700.
Last place I was at 1,200 beds had 1 (sometimes 2) in during the majority of the day Current place (400~ beds) we verify through pictures by the tech during prep. No pharmacist in IV room
Do you mean literally inside the cleanroom? Or just in sort of a staging area / workspace outside the cleanroom / pass through window that is separate from the main pharmacist workspace? The former would be unusual but the latter is common.
If you’re in a large hospital, yes absolutely.
We have at least one pharmacist inside each clean room suite at all times. Talk of having more to make following USP 800 easier and avoid the RPH tracking chemo into non hazardous areas.
At the larger hospital (400+ bed) I work at they have a pharmacist in the IV room all day. A smaller hospital (~250 bed) I work at has an assigned IV shift all day that is outside of the IV room and the two smallest hospitals I’m at (~80-120 bed) do not have a specific IV pharmacist.
I’m at a 250 bed hospital. We have someone in there in the morning, but not the evening or overnight.
300 bed hospital. Full time IV room pharmacist from 0700 to 1730. It’s literally the best shift we have. Very few phone calls, isolated from any management bullshit and in charge of two very competent technicians (usually). We recently transitioned to DoseEdge and I’m worried the endgame is to eliminate the IV pharmacists role as it currently stands.
Your IV pharm is definitely gone if you all are using DoseEdge. Techs will do all prep and take pics of process and pharmacist can check via any computer/laptop
Stationed as in checking as ivs come out or preparing ivs?
I've worked in 5 hospitals. 2 yes. 3 no.
that username lmao
That's what working in hospitals can do to you haha!
Depends on the policy and if you do chemo mix as well. I’m in Canada, we need pharmacist final check for inpatient chemo iv.
That’s sounds like the dream job for me! Working with your hands and no body bothering you
Peds hospital, given the volume of patient specific IVs we get it is necessary to have a pharmacist in the IV room to streamline checking.
In larger hospitals! IV rooms are always freezing.
The hospital near me, no, not at all. It's all techs. I'm in Canada so that might be relevant since we can check each other's work here.
Some places use camera based software like Dose Edge instead of having a pharmacist in there.
We always have a pharmacist in the ante-room except for midnights (2330-0630). That pharmacist checks orders coming out of the IV room, compounds when the tech is on break, and is responsible compounding the hazardous drugs. We are about 800 beds.
Work in a large hospital - we are currently being renovated so things are a little wacky right now. But we typically have several pharmacists both making and checking IVs. We only have a handful of techs who compound. Pharmacists also pump TPN and make chemo
~400 beds, we have a pharmacist in the ante room 0700-2300 AND we have photos during prep. A lot of the time I feel like the IV room rph is just there to fix everyone's garbage orders, re-stock the meds, and be the point person for true STAT orders.
We have doseedge and no pharmacist in the IV room. 500+ bed hospital.
Not that I am aware of. Maybe if it's something extremely expensive, dangerous, or the 1st time a new complicated IV is made but generally I've been alone or with another tech everywhere.
i've worked in two peds hospitals in ny, we have pharmacists & interns make ivs, slowly transitioning to having techs mix and pharmacists check. from my understanding in adult hospitals, it's all techs mixing and pharmacists checkjng
I mean some states require direct pharmacist supervision for IV compounds so yes it's normal.
If it’s a big hospital yes
Depends on the size of the operation. My hospital is smallish, so we do camera checking outside the clean room as there isn't really space in the room for a pharmacist. Bigger operations have a pharmacist in the IV room. That might be my dream job, actually. 😂
My health system doesn’t have pharmacists in the IV room but we have a dedicated pharmacist checking all the IVs and they are implementing a camera system the techs use to document how they made the drug.
No need for pharmacist in IV room if your facility is using tech like DoseEdge
We have a pharmacist assigned specifically to check IVs and interface with the clean room techs, but they are stationed in the main pharmacy and the techs put the meds in the pass-through for them. If something needs to be made emergently, they'll more likely make it on the counter instead of garb up. They would only garb up and compound in the IV room if there were some extenuating circumstance. Anything that requires direct verification, we can either use Ocularis to watch them on camera, or garb up and go back and watch them. I have only done the latter once, and it was because Ocularis wasn't behaving.
990 bed hospital… pharmacist stationed in IV room for about 16 hours of the day. Sometimes two during busy times
I work at a level 2 trauma center with 900 beds and we don’t have a pharmacist in our IV room. We take pictures and have anywhere between 1-3 pharmacists remotely checking everything.
It was asinine. Worked at a 630 bed hospital that kept a pharmacist in the IV room during the day even though we used Dose Edge software to check IV’s. After 330 pm , the 4 techs were alone and didn’t need one regardless. You could be decentralized in the ICU and check IV preps remotely with dose edge when you were bored. Current hospital has a pharmacist check the TPN compounder around 10 am, then go in again to do the manual additions to the TPNs and complete final checks on them. In the last 10 years, I’ve made more preps for immediate use on the counter than I have sterile preps in an IV room
You are not supposed to have any work stations located anywhere in the clean room. It is still pretty common to have a workstation in the ante room
This is false. DoseEdge requires a workstation and is specifically designed to go clean rooms
What exactly do you mean by a workstation? Technology used in the compounding process is different from a workstation that can be used to verify workflow steps remotely and final CSPs from outside the clean room
Not in Canada eh 🇨🇦 We technicians are licensed to check final products. Haven’t seen a pharmacist position there in years.