Bar-code technology for documenting administration of large-volume intravenous solutions.

The failure to properly document dispensing, administration, charging, and crediting of large-volume plain i.v. solutions in a hospital, along with the potential for using bar-code technology to reduce documentation discrepancies, was investigated.

Establishment and operation of an oncology satellite pharmacy.

The justification, establishment, and operation of an oncology satellite pharmacy in a 545-bed university teaching hospital are described. The oncology satellite pharmacy was established because of concerns expressed by nurses about the potential health hazards of handling cytotoxic drug products. The satellite pharmacy, which is located near the three floors that serve the majority of the adult and pediatric oncology inpatients, is responsible for preparing all injectable cytotoxic drug products used in the institution; this includes inpatient and outpatient use.

Protocols for the use of psychoactive drugs: Part III. Protocol for the treatment of bipolar affective disorder with lithium.

A step-wise protocol is described for the treatment of bipolar affective disorder, with emphasis on the use of lithium. The objective of this protocol is to delineate the steps clinicians must consider in monitoring a patient who is receiving treatment for bipolar affective illness. While not covering every aspect of treatment, the protocol does provide the basic steps necessary for care; it is intended for use in conjunction with the clinician's personal expertise.