College of Veterinary Medicine Teaching Hospital KB Search Results

1. Drug Directory
   1. The Drug Directory binder can be found on the front counter.
   2. A digital version can be found on the VTH-KB Intranet, under Medication Dispensary Drug Directory (6/2023): https://answers.uillinois.edu/illinois.vetmedvth/internal/128506
2. Notes:
   1. Pen needles are in the compounding room (top cabinet to your right when you enter the door). All insulin syringes are also in the compounding room.
   2. Miscellaneous items can be found on the back shelf

1. Check and see if your needed compound is pre-made or not.
   1. Utilize our pre-made compounds that are stocked on our shelves. See list below.
   2. If it is not premade:
      1. If the prescription is not urgent, and can wait until the next business day, notify the Medication Dispensary that it has not been filled, and needs to be filled by Med Disp staff, along with any relevant details (contact owner for mailout, etc.). Inform the client of the delay.  
      2. If you need to make the compound, formula sheets are in the binders of the compounding room. Follow all the steps on the sheets, and please clean up your dishware afterward.  

1. Cubex Directory https://answers.uillinois.edu/illinois.vetmedvth/internal/128506
   **some drugs are in multiple Cubex machines, i.e., if something is out in ICU, check if IMC has it.     
2. If an item is unavailable in all Cubex machines:
   1. Regular open hours: notify the Medication Dispensary in person or send an email to vthpharmacy@vetmed.illinois.edu
   2. After-hours/weekends: After verifying the item is unavailable in all Cubex machines. call the pharmacy on-call.

1. 1. RX Label printer supplies are located above the printer to the left on the top-level shelf

1. If items in the Medication Dispensary are out of stock in the bins, look at the top and bottom of the shelf for overstock.

1. In-house medications are hanging in the back of the Medication Dispensary shelf, or on the bookshelf by the front door, by the Cubex.
2. Out-patient/refill medications are stored at the front desk after hours and on weekends/holidays
3. Controlled substances (including all forms of gabapentin) must remain in the pharmacy until the client is at the VTH and ready to take the patient home. Prescriptions are hung up in the pharmacy.

1. Regular open hours: notify the Medication Dispensary in person or send an email to vthpharmacy@vetmed.illinois.edu
2. After-hours/weekends: Email vthpharmacy@illinois.edu with the patient name, MR# and prescription information. If the patient will be discharged soon, ask Client Services not to charge for that prescription. Pharmacy staff will remove the charge during open business hours. 

1. 1. If the prescription has not been pinned off the worklist, go to the worklist and click on the prescription bottle icon.

1. 2. If the prescription has been pinned, it cannot be edited by a non-pharmacy staff member. (Currently, SANDI does not have the capabilities for this. Pharmacy has to edit through VetStar)

Write a new prescription with the accurate/current directions and fill as normal. Send an email to vthpharmacy@illinois.edu with the patient name, MR# and which drug, quantity, and directions to delete. Pharmacy staff will remove the charge during open business hours.

Policy: When Medication Dispensary is closed and a patient being discharged needs continued treatment with a controlled substance, a 72-hour supply may be dispensed by a clinician from the emergency dispensing cabinet, located in the Medication Dispensary.

After-Hours Controlled Drug Dispensing (Discharge Prescriptions) Steps: 

1. Clinician enters 72-hour supply prescription in SANDI. Pin off prescription on both doctor and pharmacy worklist to generate 2 labels to print in the Medication Dispensary.
2. Clinician removes key from ICU Cubex, under that patient. Search for “After Hours Controls Key”.
3. Clinician will need to use the key for the lockbox cabinet [in the back] of the Medication Dispensary. Remove the drug and dispense in a standard pill vial or amber bottle.
4. Place labels on prescription bottle, and controlled drug sign-out sheet on the cabinet. Initial and date, and lock the cabinet.
5. Return the key to Cubex, under the same patient it was removed from, using the return function

1. Enter the prescription in SANDI for the desired suspension, then follow the after-hours key process to obtain the tablets needed for the compound. Place your suspension prescription sticker on the after-hours cabinet clipboard.