Shortages r/t Puerto Rico

[CCU BSN RN]

Puerto Rico has manufacturing plants for literally every major Pharma company. These plants don't have power, they all have generators but often not the gas to run them, not to mention that their employees can't physically get to work in the rugged terrain.

we're already having critical shortages of several meds, products, and supplies, and given the dismal timeline for restoring the power grid in PR, I have no doubt that we'll be dealing with more shortages every day for awhile.

The minibags of D5W and NS were a loss, but I could cope.

The shortage of Morphine and Dilaudid have been particularly rough for my patients in the last few weeks, as they're recovering from cardiac surgery and obviously in need of IV pain management.

The shortage of IV KCl is presenting serious challenges.

So what shortages are hurting you guys the most? How do you think our hospitals are going to compensate for them?

Just curious how everyone else is being impacted and what your thoughts are

[AJJKRN]

I got an email just this morning that we all have to recheck off on our med compounding education and that the next for us to mix at bedside will be several antibiotics except for vancomycin and a few others. So far no issues that I'm aware of for IVFs but the dilaudid and morphine shortages hit us fast and hard...

[shedevilprincss]

We also received an email about mixing abx at the bedside. We have had the morphine shortage for a while at our hospital but the dilaudid is definitely catching up. And I know where some mini bags are hidden throughout the ER so I'm just keeping that info to myself right now í ½í¸‚.

[Fiona59]

50 and 100ml bags only to be used as last resort. IV push for everything that can be pushed.

And this is in Canada.

[KelRN215, BSN, RN]

50 and 100ml bags only to be used as last resort. IV push for everything that can be pushed.

And this is in Canada.

I am a home infusion liaison for a pediatric hospital that does NOT like IVP antibiotics for any patients, including adults. D/t the shortage of normal saline, my Pharmacy recently made a rule that all meds that can be IVP must be for adults, no exceptions. It requires more saline to mix the drugs in the home pumps that the hospital likes to use. So far there hasn't been any backlash but I'm expecting it.

[MPKH, BSN, RN]

50 and 100ml bags only to be used as last resort. IV push for everything that can be pushed.

And this is in Canada.

Got a talking to at work today about iv pushing every med that we can. Or give them via other routes if possible.