You may have heard me say it before. "It's not a problem, until it's a problem." And every time I think I've said all there is to say about this topic, drug diversion rears it's ugly head and I'm back on this subject again. Earlier this year I reported the incredible increase in diversion cases over the last year (128% increase from 2017-2018, CBS Nightly News). It seems that national media and The Joint Commission are finally becoming aware of what we've known is a problem for years. I've...

Sugammadex, or Bridion, has recently increased greatly in popularity. The drug is used for rapid-reversal of neuromuscular blockade induced by rocuronium. Many anesthesiologists and CRNAs favor this drug because of how quickly it acts, compared to other rocuronium reversal agents. However, many practitioners don't realize that sugammadex lowers efficacy of hormonal contraceptives. I recommend that patients receiving sugammadex be supplied with an informational letter and education before...

Some JDJ Consulting clients ask, "Why do we sometimes see different pharmacists during our inspections? Why doesn't the same pharmacist come all the time?" I've gone back and forth about how to create the most successful experience for my clients, and ultimately, I've noticed that clients are offered better support when a variety of pharmacists visit their facility. Each member of our pharmacy team brings their own unique experiences and perspectives. This offers our clients the opportunity...