#MEQAPI Transcript
Healthcare social media transcript of the #MEQAPI hashtag.
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See #MEQAPI Influencers/Analytics.
| Profile | Tweet |
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 | MEQAPI @meqapi ... and #MEQAPI is live! Today we are discussing the often-infuriating barriers and obstacles people encounter trying to open pill bottles, blister packs, and other medication containers. Please introduce yourself, and maybe a picture of medications that were difficult to use https://t.co/dkJhFRJBXD |
| MEQAPI @meqapi Just a note on quality. A core principle in quality improvement is to view the processes and workflow from the eyes of the "process customer" In the case of medications, this is the patient. So quality as measured from pt perspective #MEQAPI |
 | Matthew Loxton is also on Mastodon @mloxton Matthew the healthcare improvement gnome. Working from Denver and DC, and using magic to make healthcare STEEEPA #MEQAPI |
| MEQAPI @meqapi #MEQAPI T1 Policies: How do national, state, or organizational policies, laws, and processes cause or reduce medication usability and #WrapRage? https://t.co/Fs173Ck97B |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi Guys. How are we all today? Shereese here. #MEQAPI https://t.co/HVIOUvuyBj |
 | Erin Moriarty Wade @EMoriartyWade @meqapi Hi #MEQAPI I’m a freelance writer specializing in healthcare...and I manage lots of prescription meds for my daughter. |
 | Kimberly Amelia @fireflyrn84 Hey all, Kim here from WI! Glad to be here! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T1 although many federal and local gov rules and surveillance programs look at drug safety, few look at usability. Very little policy matter on practical usability aspects #MEQAPI |
| MEQAPI @meqapi @fireflyrn84 Glad you could join #MEQAPI, Kimberly! |
| MEQAPI @meqapi @EMoriartyWade Welcome back to #MEQAPI Erin! |
| MEQAPI @meqapi @ShereesePubHlth Hooray, Shereese is here! #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 Policies that encourage price gouging, limit competition, and allow muti-patents by primary patent holders reduces medication usability #MEQAPI https://t.co/ZmDBWPeDYw |
| Erin Moriarty Wade @EMoriartyWade @meqapi T1 I remember covering the early days of the crystal meth epidemic...and watching how state laws changed to put cold/allergy meds behind the counter requiring ID and packaging became way more time-consuming and difficult. #MEQAPI |
 | Heather McCullen @H_SalemOaks Hi #MEQAPI, Heather representing @SalemOaks. I've never participated in this chat before. |
| Kimberly Amelia @fireflyrn84 T1: Policies for packaging especially within a hospital can differ. Some are standard manufacturer packages for single doses. Other hospitals package themselves for custom doses. OTC meds have policies set by the powers that be for requirements :) #MEQAPI |
| Kimberly Amelia @fireflyrn84 @EMoriartyWade @meqapi Hi Erin! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @EMoriartyWade @meqapi I wonder if they also monitored the effects of those security measures on the patients who needed the medication? #MEQAPI |
| Kimberly Amelia @fireflyrn84 @meqapi Wouldn't have missed this one for the world! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @H_SalemOaks @SalemOaks Hi Heather, we're seeing a lot of each other lately! #MEQAPI |
 | Rie Lopez, MPH (she/her) @RieOfLetters Hi everyone! I'm going to be lurking mostly as I tend to pressing matters. Great topic! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @RieOfLetters Hi Rie! #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @fireflyrn84 @meqapi Hi Kimberly! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T1 seems like very little in policy or process that pushes manufacturers to be familiar with how and where the products would be or are used. Simple feedback on usability might change many problems with pill size, blister packs, etc. #MEQAPI |
| Rie Lopez, MPH (she/her) @RieOfLetters @fireflyrn84 Hey Kim! #MEQAPI https://t.co/OZDCt7EFDK |
| MEQAPI @meqapi @RieOfLetters Very welcome Rie! Hope you can squeeze in a few thoughts #MEQAPI |
 | ElizabethKelly, Ph.D @Elizabe85727641 Joining a bit late, Liz Kelly, glad to share the time & thoughts. #MEQAPI |
| Heather McCullen @H_SalemOaks @EMoriartyWade @meqapi When I was getting ready for #MEQAPI I was thinking about physical packaging. I didn't even consider this! Having to ask/give ID to get cold medicine can be a barrier for a number of different reasons. Anxiety, language barriers, is there an option if you don't have ID? |
| Erin Moriarty Wade @EMoriartyWade @mloxton Maybe it’s a job for @savvy_coop #MEQAPI |
| Kimberly Amelia @fireflyrn84 @Elizabe85727641 Hi Liz! #MEQAPI |
| MEQAPI @meqapi #MEQAPI T2 Environment: What environmental factors influence medication #WrapRage? https://t.co/ZVvrT5DQ1G |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @H_SalemOaks: @EMoriartyWade @meqapi When I was getting ready for #MEQAPI I was thinking about physical packaging. I didn't even consider this! Having to ask/give ID to get cold medicine can be a barrier for a number of different reasons. Anxiety, language barriers, is there an option if you don't have ID? |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 When the hospital packages, how are they eliciting feedback or incorporating patient feedback in the choice of packaging, doses, presentation, etc? Did you get any insights? #meqapi |
| Kimberly Amelia @fireflyrn84 @H_SalemOaks @EMoriartyWade @meqapi At this point, I don't believe there is. At some juncture I think the system will be changing but for now it is ID or no meds unless someone else gets them #MEQAPI |
| MEQAPI @meqapi @H_SalemOaks @SalemOaks Welcome to #MEQAPI, Heather! |
| MEQAPI @meqapi @Elizabe85727641 Welcome back Liz! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @mloxton There is no patient feedback involved in the packaging process. Even while I was still working as an RN before I got ill, we had no input. We took what we got, even if that meant that we broke pills, cut them, used scissors or whatever necessary #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Plastic! The environmentally conscious don't want to use them. Also, for the elderly, once they get home, the environment itself (low lighting and hard to manage medicine cabinets san be an issue. #meqapi https://t.co/l10G6oZj0R |
 | Heidi Grabenstatter @PatientIntv Hi #meqapi. I am sorry to join so late. I like the choice of topics this week, Matthew, an interesting one, from many perspectives. |
| Erin Moriarty Wade @EMoriartyWade @H_SalemOaks @meqapi I actually remember seeing a Twitter post a while ago from a women physician who went to buy cold medicine for her sick teenage daughter and was turned away because she didn’t have her driver’s license on her. Super frustrating and ironic. #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 T1 Is consumer utilization of prescription ever included in the business plan? Has this topic ever received research Monet & efforts? #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @H_SalemOaks @EMoriartyWade @meqapi At the risk of starting a firestorm, @meganranney commented about how Sudafed has more restrictions than buying a gun. As a physician, she was refused Sudafed at a pharmacy bc she didn't have ID on her. Had to settle for a lesser drug. #meqapi |
| Kimberly Amelia @fireflyrn84 @EMoriartyWade @H_SalemOaks @meqapi exactly, but if you get narcotics you don't need proof of ID many places unless someone else is picking up the medication. #MEQAPI |
 | PF Anderson @pfanderson@disabled.social @pfanderson RT @fireflyrn84: @mloxton There is no patient feedback involved in the packaging process. Even while I was still working as an RN before I got ill, we had no input. We took what we got, even if that meant that we broke pills, cut them, used scissors or whatever necessary #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: @mloxton There is no patient feedback involved in the packaging process. Even while I was still working as an RN before I got ill, we had no input. We took what we got, even if that meant that we broke pills, cut them, used scissors or whatever necessary #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @mloxton This! This is a big one. I've been asking the pharmacies where I could buy the nice pill slicers that they use, because I tend to crush them using knives at home. #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @mloxton: @H_SalemOaks @EMoriartyWade @meqapi At the risk of starting a firestorm, @meganranney commented about how Sudafed has more restrictions than buying a gun. As a physician, she was refused Sudafed at a pharmacy bc she didn't have ID on her. Had to settle for a lesser drug. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @H_SalemOaks @EMoriartyWade @meqapi At the risk of starting a firestorm, @meganranney commented about how Sudafed has more restrictions than buying a gun. As a physician, she was refused Sudafed at a pharmacy bc she didn't have ID on her. Had to settle for a lesser drug. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T2 sometimes the packaging doesn't consider that the environment may be humid and hot, and that disposal of huge amounts of plastic may be hard. #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @pfanderson @fireflyrn84 @mloxton Those are usually giveaways from vendors. Ask a pharmacist to just give you one. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @pfanderson @mloxton Usually you can buy them at the pharmacy. I have two of them at home. Many of my medications need split. #MEQAPI Also can get on amazon for very inexpensive |
| Erin Moriarty Wade @EMoriartyWade @mloxton @H_SalemOaks @meqapi @meganranney Maybe that was the post I saw...I just don’t remember the doctor’s name. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton @H_SalemOaks @EMoriartyWade @meqapi @meganranney I was cleaning in my house and found some Sudafed. Thought, oops! I better hide this somewhere else. My kid cannot understand what is going on with that. I do, but ... it still is tough. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @fireflyrn84 @mloxton I did. Hmmm. Well, I guess I need to ask a different way ... #MEQAPI |
| MEQAPI @meqapi #MEQAPI T3 People: What people factors cause or reduce medication usability and #WrapRage? https://t.co/2t0Oq4Zg22 |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Acu-Life Pill Splitter / Cutter EZY DOSE https://t.co/GdVHRKFZwh via @amazon @pfanderson #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @H_SalemOaks @SalemOaks Great to see you, Heather! #MEQAPI |
| MEQAPI @meqapi @ShereesePubHlth Yes! What to do with all that plastic so it doesn't winf up in some animal's gut? Even on a tiny scale, have more than once had to grab a thin sliver of plastick cut from a blister pack because the sliver wound up on the floor and a dog found it. Hard to see! #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @meqapi: #MEQAPI T3 People: What people factors cause or reduce medication usability and #WrapRage? https://t.co/2t0Oq4Zg22 |
| MEQAPI @meqapi RT @ShereesePubHlth: T2 Plastic! The environmentally conscious don't want to use them. Also, for the elderly, once they get home, the environment itself (low lighting and hard to manage medicine cabinets san be an issue. #meqapi https://t.co/l10G6oZj0R |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @mloxton Bravo! I'll look there. Thanks! #meqapi |
| MEQAPI @meqapi @PatientIntv Welcome to #MEQAPI, Heidi, glad you could make time! |
| Kimberly Amelia @fireflyrn84 T2: I honestly don't think any environmental factors go into packaging and that includes the environment in which they are being used. Patients' homes, traveling, vehicles, etc. Not convenient if on many meds. #MEQAPI |
| MEQAPI @meqapi RT @Elizabe85727641: T1 Is consumer utilization of prescription ever included in the business plan? Has this topic ever received research Monet & efforts? #meqapi |
| Kimberly Amelia @fireflyrn84 @pfanderson @mloxton No problem! #MEQAPI |
| Heidi Grabenstatter @PatientIntv @fireflyrn84 @mloxton Next big step: Pharma involving patients and caregivers in the most appropriate formulation choice for the pt population, not just the packaging choice, early in development. #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @PatientIntv: @fireflyrn84 @mloxton Next big step: @fireflyrn84 @mloxton Next big step: Pharma involving patients and caregivers in the most appropriate formulation choice for the pt population, not just the packaging choice, early in development. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @PatientIntv @mloxton Bingo!! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @Elizabe85727641 @fireflyrn84 @mloxton And here is an example from Amazon https://t.co/spWDfYTsOX I've had problems when they couldn't get the right size of med to fill the script. Had to go all over town, never did find it #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: Acu-Life Pill Splitter / Cutter EZY DOSE https://t.co/GdVHRKFZwh via @amazon @pfanderson #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T2 legibility! For many patients, ambient light is never going to be enough for the tiny font they use on many packages and package inserts And for crying in a bucket, what's with the light grey font? #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @meqapi T3 I realize it’s a convenience for people, but I personally don’t like the trend of so many medications being sold as pre-filled syringes. I totally get it for diabetics (like my Dad) but I don’t need it for my daughter’s weekly injection. Packaging was wasteful. #MEQAPI |
| Kimberly Amelia @fireflyrn84 T3: Sometimes the packaging, for example insulin pens--a good amount of education is needed for correct use. Same with inhalers, nebulizers and medications that have to be taken at different times to avoid interactions. The possibilities are endless. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @pfanderson @Elizabe85727641 @mloxton So frustrating! #MEQAPI |
| Heather McCullen @H_SalemOaks @mloxton Even just reading the name. If you get more than one prescription filled at the same pharmacy it's not easy to tell them apart. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: T2 sometimes the packaging doesn't consider that the environment may be humid and hot, and that disposal of huge amounts of plastic may be hard. #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @meqapi T3 And honesty the pre-filled syringe we tried was so much harder to administer...you had to hit her leg very hard in order to get the spring to engage and if you didn’t do it correctly it wouldn’t fully release the medicine. Ahhh, no thanks! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T3 people factors are huge. Many people lack the visual acuity, dexterity, grip strength, etc to open tough blister packs and safety-seals, or read those tiny instructions Need to be engineered to suit the user, not require helpers and power tools! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton I definitely just grab scissors when opening one of those blister packs. Have learned to cur off to the side. And sometimes the blister pack is too tough for the scissors! #meqapi |
| Kimberly Amelia @fireflyrn84 T2: My migraine nasal spray comes in a box of eight. It has to be assembled and then is only good for 1 hour once it's opened. The cost is $7000 to insurance for 8 doses!!! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @EMoriartyWade: @meqapi T3 I realize it’s a convenience for people, but I personally don’t like the trend of so many medications being sold as pre-filled syringes. I totally get it for diabetics (like my Dad) but I don’t need it for my daughter’s weekly injection. Packaging was wasteful. #MEQAPI |
| Kimberly Amelia @fireflyrn84 RT @mloxton: T2 sometimes the packaging doesn't consider that the environment may be humid and hot, and that disposal of huge amounts of plastic may be hard. #MEQAPI |
| MEQAPI @meqapi RT @PatientIntv: @fireflyrn84 @mloxton Next big step: @fireflyrn84 @mloxton Next big step: Pharma involving patients and caregivers in the most appropriate formulation choice for the pt population, not just the packaging choice, early in development. #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @mloxton: T3 people factors are huge. Many people lack the visual acuity, dexterity, grip strength, etc to open tough blister packs and safety-seals, or read those tiny instructions Need to be engineered to suit the user, not require helpers and power tools! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @pfanderson @mloxton I do the same! Bandage scissors work extremely well! #MEQAPI |
| Kimberly Amelia @fireflyrn84 RT @mloxton: T3 people factors are huge. Many people lack the visual acuity, dexterity, grip strength, etc to open tough blister packs and safety-seals, or read those tiny instructions Need to be engineered to suit the user, not require helpers and power tools! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @EMoriartyWade @meqapi Packaging for dose delivery can also break down, and what do you do then? There's a medication I can no longer get because they quit selling it with a metered dose inhaler. Unfortunately, it was the only med that worked for my asthma. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @PatientIntv @fireflyrn84 Yes! Such a foundational need to make the "process customer" i.e. the patient a member of the team making those decisions. If a pill is hard to swallow, easily lost, or difficult to liberate from the packing, the quality is low #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: T3 people factors are huge. Many people lack the visual acuity, dexterity, grip strength, etc to open tough blister packs and safety-seals, or read those tiny instructions Need to be engineered to suit the user, not require helpers and power tools! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 That's ........ unbelievable design. Whoa #meqapi |
| MEQAPI @meqapi #MEQAPI T4 Modality: What aspects of the treatment modality e.g. liquid, tablet, IM, IV, etc. cause or reduce medication usability and #WrapRage https://t.co/KcLv3OEPAm |
| Kimberly Amelia @fireflyrn84 And then the new medications that come out won't be covered under the insurance formulary so you are forced to use an older med and need to fail it before you can try the new one. #MEQAPI https://t.co/kadiiiZYLP |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @fireflyrn84 That's crazy. "These prices are what's giving us migraines,"said the fellow migraine sufferer #MEQAPI https://t.co/7iZmwJ9HaW |
| Kimberly Amelia @fireflyrn84 @pfanderson talk about efficiency... #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @H_SalemOaks Yes, exactly! ... and so easily results in waste or harm. #meqapi |
| MEQAPI @meqapi RT @EMoriartyWade: @meqapi T3 And honesty the pre-filled syringe we tried was so much harder to administer...you had to hit her leg very hard in order to get the spring to engage and if you didn’t do it correctly it wouldn’t fully release the medicine. Ahhh, no thanks! #MEQAPI |
| Heidi Grabenstatter @PatientIntv T3: Stress. A caregiver or patient attempting to administer meds to a child/ loved one that is having a catastrophic emergency needs to have mechanism to administer under distress. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @mloxton I've been using these from @FiskarsAmericas to spare my hands https://t.co/EVR6ufrmjf #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @EMoriartyWade @meqapi Oh, hadn't thought of that. So you wind up either bruising her or multiple stabs? #meqapi |
| MEQAPI @meqapi RT @pfanderson: @mloxton I definitely just grab scissors when opening one of those blister packs. Have learned to cur off to the side. And sometimes the blister pack is too tough for the scissors! #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 I can't take the new meds. I have some stockpiled of the old med ... but the inhalers broke. Trying to figure out how to repair / hack the inhaler #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @PatientIntv: T3: T3: Stress. A caregiver or patient attempting to administer meds to a child/ loved one that is having a catastrophic emergency needs to have mechanism to administer under distress. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @PatientIntv I agree wholeheartedly! It's kind of like the epi-pen. Just jab it in the leg, even through the clothes. There need to be more meds like this for emergencies. Granted tylenol for high fevers isn't ever going to come in a form that a kid isn't going to spit out #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson Right. But as Lisa said, do you REALLY want to have to use scissors or a knife when you are already having a migraine? #meqapi |
| Rie Lopez, MPH (she/her) @RieOfLetters RT @fireflyrn84: And then the new medications that come out won't be covered under the insurance formulary so you are forced to use an older med and need to fail it before you can try the new one. #MEQAPI https://t.co/kadiiiZYLP |
| MEQAPI @meqapi RT @fireflyrn84: T2: T2: My migraine nasal spray comes in a box of eight. It has to be assembled and then is only good for 1 hour once it's opened. The cost is $7000 to insurance for 8 doses!!! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 wow! #meqapi |
| ElizabethKelly, Ph.D @Elizabe85727641 @meqapi T4 Lack of Patient participation in Rx usage, rationale, plus SDoH. With some larger Rx’s need to offer usage methods beside “swallow” with water. #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @EMoriartyWade @meqapi Packaging for dose delivery can also break down, and what do you do then? There's a medication I can no longer get because they quit selling it with a metered dose inhaler. Unfortunately, it was the only med that worked for my asthma. #meqapi |
| Kimberly Amelia @fireflyrn84 @pfanderson If it's an HFA, the cartridge should fit into any similar inhaler delivery system. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @PatientIntv Yes! And what about people with pain hypersensitivity or needle phobia or a twitchy gag reflex or ... Medications are not a one size fits all. We struggle with chemical dyes in meds. WHY do they put poison in medicine??? #meqapi |
| MEQAPI @meqapi RT @pfanderson: @PatientIntv Yes! And what about people with pain hypersensitivity or needle phobia or a twitchy gag reflex or ... Medications are not a one size fits all. We struggle with chemical dyes in meds. WHY do they put poison in medicine??? #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @fireflyrn84: @PatientIntv I agree wholeheartedly! It's kind of like the epi-pen. Just jab it in the leg, even through the clothes. There need to be more meds like this for emergencies. Granted tylenol for high fevers isn't ever going to come in a form that a kid isn't going to spit out #MEQAPI |
| MEQAPI @meqapi RT @Elizabe85727641: @meqapi T4 Lack of Patient participation in Rx usage, rationale, plus SDoH. With some larger Rx’s need to offer usage methods beside “swallow” with water. #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @mloxton @meqapi I don’t think it bruised but it definitely wasn’t fun. If it doesn’t get all the medicine out then you just have to throw it out (you can’t access the remaining liquid). #MEQAPI |
| Kimberly Amelia @fireflyrn84 @pfanderson @PatientIntv Exactly! The stats on Red Dye alone are astonishing! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 @PatientIntv yeah, but could they make it less sticky? ;) #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton Assuming the scissors haven't gotten lost. I keep several pairs of scissors all over the house just in case they don't get put back. #meqapi |
| MEQAPI @meqapi RT @PatientIntv: T3: T3: Stress. A caregiver or patient attempting to administer meds to a child/ loved one that is having a catastrophic emergency needs to have mechanism to administer under distress. #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @mloxton @meqapi T3 And I almost forgot one of the most important things...the pre-filled version is WAY more expensive than getting the old-fashioned vials and individual syringes. #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: And then the new medications that come out won't be covered under the insurance formulary so you are forced to use an older med and need to fail it before you can try the new one. #MEQAPI https://t.co/kadiiiZYLP |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @PatientIntv Absolutely! The red dyes are so dangerous, yellow not much better, and it's almost impossible to find prescription meds that are plain white with no dyes added. #meqapi |
 | 𝓝𝓪𝓽𝓻𝓲𝓬𝓮𝓡 😷🇨🇦❤️ 🥀 @NatriceR RT @fireflyrn84: T2: T2: My migraine nasal spray comes in a box of eight. It has to be assembled and then is only good for 1 hour once it's opened. The cost is $7000 to insurance for 8 doses!!! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @mloxton @PatientIntv Amen to that! And less color so it doesn't stain as much either :) #MEQAPI |
| Rie Lopez, MPH (she/her) @RieOfLetters @EMoriartyWade @meqapi I absolutely understand this. I have an epi-pen and I was trying to teach my kids to use it, on the off-chance that I am unable to administer it myself. They aren't strong enough to get the spring to engage. I don't think that is particularly helpful. #MEQAPI |
| MEQAPI @meqapi #MEQAPI T5 Materials: What medical materials cause or reduce medication usability and #WrapRage? https://t.co/dNiHq9te2T |
| Heather McCullen @H_SalemOaks #MEQAPI https://t.co/OqxIPb1vHy |
| Matthew Loxton is also on Mastodon @mloxton T4 have had more than one medication that almost always resulted in me gagging because of the pill size and surface. Can't believe that this was adequately tested on a representative population. #meqapi |
| Kimberly Amelia @fireflyrn84 There needs to be a redesign so that it is more user friendly. #MEQAPI https://t.co/ozNbnA8yqn |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @Elizabe85727641 @meqapi Many patients won't tell their physicians that they don't understand Rx instructions, thus becoming non-adhering. We need to look at how we communicate instructions & how patients cognitively receive that information #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @fireflyrn84 I can't take the new meds. I have some stockpiled of the old med ... but the inhalers broke. Trying to figure out how to repair / hack the inhaler #meqapi |
| Heidi Grabenstatter @PatientIntv @pfanderson An injection will not always be the solution. Exploring intranasal and transdermal solutions for emergency seizure meds. I agree not a one size fits all and will differ for both individual and pt population. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RieOfLetters: @EMoriartyWade @meqapi I absolutely understand this. I have an epi-pen and I was trying to teach my kids to use it, on the off-chance that I am unable to administer it myself. They aren't strong enough to get the spring to engage. I don't think that is particularly helpful. #MEQAPI |
| MEQAPI @meqapi RT @EMoriartyWade: @mloxton @meqapi I don’t think it bruised but it definitely wasn’t fun. If it doesn’t get all the medicine out then you just have to throw it out (you can’t access the remaining liquid). #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @mloxton Assuming the scissors haven't gotten lost. I keep several pairs of scissors all over the house just in case they don't get put back. #meqapi |
| MEQAPI @meqapi RT @EMoriartyWade: @mloxton @meqapi T3 And I almost forgot one of the most important things...the pre-filled version is WAY more expensive than getting the old-fashioned vials and individual syringes. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @mloxton @PatientIntv I've had that happen, but it wasn't a top priority at the time ... #meqapi |
| Kimberly Amelia @fireflyrn84 Spot on. Medication compliance and noncompliance is largely based on education that has been received. #MEQAPI https://t.co/3CHhhBmcT4 |
| MEQAPI @meqapi RT @RieOfLetters: @EMoriartyWade @meqapi I absolutely understand this. I have an epi-pen and I was trying to teach my kids to use it, on the off-chance that I am unable to administer it myself. They aren't strong enough to get the spring to engage. I don't think that is particularly helpful. #MEQAPI |
| MEQAPI @meqapi RT @H_SalemOaks: #MEQAPI https://t.co/OqxIPb1vHy |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton You do not want to see the handful of monsters I take each morning. #meqapi |
| MEQAPI @meqapi RT @ShereesePubHlth: @Elizabe85727641 @meqapi Many patients won't tell their physicians that they don't understand Rx instructions, thus becoming non-adhering. We need to look at how we communicate instructions & how patients cognitively receive that information #MEQAPI |
| Kimberly Amelia @fireflyrn84 This is true. In the ER we use intranasal fentanyl and versed with kids. Even fentanyl lollipops. #MEQAPI https://t.co/AVglY9abmU |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @PatientIntv: @pfanderson An injection will not always be the solution. Exploring intranasal and transdermal solutions for emergency seizure meds. I agree not a one size fits all and will differ for both individual and pt population. #meqapi |
| Rie Lopez, MPH (she/her) @RieOfLetters @mloxton @fireflyrn84 @PatientIntv Oh, please be less sticky! Maybe improving the taste, so kids are less likely to spit it across the room. Yes, this would be lovely. #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth @Elizabe85727641 @meqapi uhoh.. that's a failure mode. #meqapi |
| MEQAPI @meqapi RT @PatientIntv: @pfanderson An injection will not always be the solution. Exploring intranasal and transdermal solutions for emergency seizure meds. I agree not a one size fits all and will differ for both individual and pt population. #meqapi |
| Kimberly Amelia @fireflyrn84 @RieOfLetters @mloxton @PatientIntv and not having to plug their nose to get it down! #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: Spot on. Medication compliance and noncompliance is largely based on education that has been received. #MEQAPI https://t.co/3CHhhBmcT4 |
| PF Anderson @pfanderson@disabled.social @pfanderson @PatientIntv My son was SO profoundly grateful for FluMist. We have to sedate him for the flu vaccine as injectable. And now, no more FluMist. :( #meqapi |
| ElizabethKelly, Ph.D @Elizabe85727641 @RieOfLetters @EMoriartyWade @meqapi Eye drops also have very tight caps. Multiple usage issues here as well. Pharmacy companies & insurers need all these experiences recorded & documented. Our voices must get stronger on these issues. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @ShereesePubHlth: @Elizabe85727641 @meqapi Many patients won't tell their physicians that they don't understand Rx instructions, thus becoming non-adhering. We need to look at how we communicate instructions & how patients cognitively receive that information #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: This is true. In the ER we use intranasal fentanyl and versed with kids. Even fentanyl lollipops. #MEQAPI https://t.co/AVglY9abmU |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @fireflyrn84: This is true. In the ER we use intranasal fentanyl and versed with kids. Even fentanyl lollipops. #MEQAPI https://t.co/AVglY9abmU |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 um .. so Fentanyl Lolipops are an image I won't shake for a while! ;) #meqapi |
| Kimberly Amelia @fireflyrn84 I think it should be a requirement that if you help design a medication, you should have to personally utilize the form before it is manufactured. #MEQAPI https://t.co/DCp30Q2BhF |
| PF Anderson @pfanderson@disabled.social @pfanderson @RieOfLetters @mloxton @fireflyrn84 @PatientIntv That horrible banana flavor they have in the white liquid amoxicillin. Ugh, ugh, ugh. #meqapi |
| MEQAPI @meqapi RT @RieOfLetters: @mloxton @fireflyrn84 @PatientIntv Oh, please be less sticky! Maybe improving the taste, so kids are less likely to spit it across the room. Yes, this would be lovely. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @pfanderson @RieOfLetters @mloxton @PatientIntv Ugh, I'm gagging right now. I remember how horrible that tastes! #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @PatientIntv My son was SO profoundly grateful for FluMist. We have to sedate him for the flu vaccine as injectable. And now, no more FluMist. :( #meqapi |
| MEQAPI @meqapi RT @Elizabe85727641: @RieOfLetters @EMoriartyWade @meqapi Eye drops also have very tight caps. Multiple usage issues here as well. Pharmacy companies & insurers need all these experiences recorded & documented. Our voices must get stronger on these issues. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @Elizabe85727641 @RieOfLetters @EMoriartyWade @meqapi Not just tight caps - TINY tight caps, so hard to grip. I sometimes use pliers for those, but need a textured edge so the pliers don't slip the grip #meqapi |
| Kimberly Amelia @fireflyrn84 @mloxton Just for peds ER! #MEQAPI |
| Rie Lopez, MPH (she/her) @RieOfLetters @pfanderson @PatientIntv I hope they bring it back. It may not be as effective as an injectable, but some is better than none. Meanwhile, they can work on improving efficacy. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @mloxton: @fireflyrn84 um .. so Fentanyl Lolipops are an image I won't shake for a while! ;) #meqapi |
| ElizabethKelly, Ph.D @Elizabe85727641 @meqapi T5 Size of print, tight seals on bottles, individual packaging, color on packaging & in the Rx, to mention a few. #MEQAPI |
| Heather McCullen @H_SalemOaks #MEQAPI https://t.co/uk09yVe4VG |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @RieOfLetters @mloxton @PatientIntv It was the only dye free formulation we could find for years. #meqapi |
| Kimberly Amelia @fireflyrn84 @mloxton @pfanderson the things you learn... #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @Elizabe85727641 @RieOfLetters @EMoriartyWade @meqapi Now there's a nice medical app use case! A way to report packaging, modality, presentations etc problems from smartphone #meqapi |
| Heather McCullen @H_SalemOaks #MEQAPI https://t.co/DPzklx3zdu |
| Erin Moriarty Wade @EMoriartyWade @RieOfLetters @meqapi @RieOfLetters that is frustrating! The most ridiculous part was that I was supposed to administer it at night while she was sleeping! So I’m sneaking into her room with a flashlight and this awkward pre-filled syringe contraption lol! #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: I think it should be a requirement that if you help design a medication, you should have to personally utilize the form before it is manufactured. #MEQAPI https://t.co/DCp30Q2BhF |
| Erin Moriarty Wade @EMoriartyWade RT @RieOfLetters: @EMoriartyWade @meqapi I absolutely understand this. I have an epi-pen and I was trying to teach my kids to use it, on the off-chance that I am unable to administer it myself. They aren't strong enough to get the spring to engage. I don't think that is particularly helpful. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @RieOfLetters @PatientIntv Me, too. Sedating him is usually a day-long affair. because he has to sleep to let it wear off. FluMist was in and out and on with his life. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Elizabe85727641: @meqapi T5 Size of print, tight seals on bottles, individual packaging, color on packaging & in the Rx, to mention a few. #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 hahah.. yes! But also bring evidence that a representative sample of users tried it, and that you incorporated their feedback #meqapi |
| MEQAPI @meqapi RT @pfanderson: @RieOfLetters @mloxton @fireflyrn84 @PatientIntv That horrible banana flavor they have in the white liquid amoxicillin. Ugh, ugh, ugh. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @EMoriartyWade: @RieOfLetters @meqapi @RieOfLetters that is frustrating! The most ridiculous part was that I was supposed to administer it at night while she was sleeping! So I’m sneaking into her room with a flashlight and this awkward pre-filled syringe contraption lol! #MEQAPI |
| MEQAPI @meqapi #MEQAPI T6 Ergonomics: What aspects of the usability, handling characteristics, weight, spillage, etc. cause or reduce medication usability and #WrapRage https://t.co/aqyB6XMp8D |
| MEQAPI @meqapi RT @pfanderson: @Elizabe85727641 @RieOfLetters @EMoriartyWade @meqapi Not just tight caps - TINY tight caps, so hard to grip. I sometimes use pliers for those, but need a textured edge so the pliers don't slip the grip #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @EMoriartyWade @RieOfLetters @meqapi Uh oh. That sounds like torture for all #meqapi |
| MEQAPI @meqapi RT @RieOfLetters: @pfanderson @PatientIntv I hope they bring it back. It may not be as effective as an injectable, but some is better than none. Meanwhile, they can work on improving efficacy. #MEQAPI |
| Kimberly Amelia @fireflyrn84 @mloxton Ditto that! #MEQAPI |
| MEQAPI @meqapi RT @Elizabe85727641: @meqapi T5 Size of print, tight seals on bottles, individual packaging, color on packaging & in the Rx, to mention a few. #MEQAPI |
| MEQAPI @meqapi RT @H_SalemOaks: #MEQAPI https://t.co/uk09yVe4VG |
 | Savvy Cooperative | #AskPatients @savvy_coop @EMoriartyWade @mloxton Our mission! We want to make it so easy to get insights from people who use products or services there's no excuse not to. No more opening bottles by slamming the cap on a table. These things can be avoided and in turn improve the #patientexperience! #savvypatients #MEQAPI |
| MEQAPI @meqapi RT @H_SalemOaks: #MEQAPI https://t.co/DPzklx3zdu |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @savvy_coop: @EMoriartyWade @mloxton Our mission! We want to make it so easy to get insights from people who use products or services there's no excuse not to. No more opening bottles by slamming the cap on a table. These things can be avoided and in turn improve the #patientexperience! #savvypatients #MEQAPI |
| MEQAPI @meqapi RT @EMoriartyWade: @RieOfLetters @meqapi @RieOfLetters that is frustrating! The most ridiculous part was that I was supposed to administer it at night while she was sleeping! So I’m sneaking into her room with a flashlight and this awkward pre-filled syringe contraption lol! #MEQAPI |
| Kimberly Amelia @fireflyrn84 @savvy_coop @EMoriartyWade @mloxton It's about time you showed up :) LOL #MEQAPI #mySavvy |
| MEQAPI @meqapi RT @pfanderson: @RieOfLetters @PatientIntv Me, too. Sedating him is usually a day-long affair. because he has to sleep to let it wear off. FluMist was in and out and on with his life. #meqapi |
 | Kevin Freiert @K_SalemOaks @H_SalemOaks #MEQAPI 4 of x Packaging also protects the product from light, humidity, and other environmental factors. Overpackaging is how you would package multiple units. Sometimes foil packets are used for greater light protection. Could use more patient feedback on user-friendliness. |
| Kimberly Amelia @fireflyrn84 @Elizabe85727641 @pfanderson @meqapi Not to mention labels getting wet and then the instructions smearing down the bottle! #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade RT @savvy_coop: @EMoriartyWade @mloxton Our mission! We want to make it so easy to get insights from people who use products or services there's no excuse not to. No more opening bottles by slamming the cap on a table. These things can be avoided and in turn improve the #patientexperience! #savvypatients #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @K_SalemOaks: @H_SalemOaks #MEQAPI 4 of x Packaging also protects the product from light, humidity, and other environmental factors. Overpackaging is how you would package multiple units. Sometimes foil packets are used for greater light protection. Could use more patient feedback on user-friendliness. |
| PF Anderson @pfanderson@disabled.social @pfanderson @meqapi I wish that they had standard prescribing info attached to the meds. Once, an pharmacy accidentally quadrupled the dose of a new med, and my son ended up in the ER with an overdose when I gave him the amount instructed on the bottle. I wish I'd seen what was normal #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @K_SalemOaks: @H_SalemOaks #MEQAPI 4 of x Packaging also protects the product from light, humidity, and other environmental factors. Overpackaging is how you would package multiple units. Sometimes foil packets are used for greater light protection. Could use more patient feedback on user-friendliness. |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @fireflyrn84: @Elizabe85727641 @pfanderson @meqapi Not to mention labels getting wet and then the instructions smearing down the bottle! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T6 ok, so I have to say, there is a very special place in Hell for the people who designed packaging of ultra-sticky stuff to be poured into a little measuring spoon so a toddler can blow it across one's face and chest like postmodern graffiti #meqapi |
| MEQAPI @meqapi RT @savvy_coop: @EMoriartyWade @mloxton Our mission! We want to make it so easy to get insights from people who use products or services there's no excuse not to. No more opening bottles by slamming the cap on a table. These things can be avoided and in turn improve the #patientexperience! #savvypatients #MEQAPI |
| Kevin Freiert @K_SalemOaks @H_SalemOaks #MEQAPI 5/x Pill splitting is not a good idea unless the label/package insert allows it. Much work is done to get the blends right. Splitting is fraught with inconsistency. Crushing, too small, uneven, contamination, etc. |
| ElizabethKelly, Ph.D @Elizabe85727641 T6 Usability limited by size of Rx, taste, tight seals/wraps, injectableables with poor packaging, dull needles, & improper ejection mechanism. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @Elizabe85727641 @meqapi Or have free plastic enlargers to wrap around the bottles to make them more readable. #meqapi |
| Kimberly Amelia @fireflyrn84 My eye drops come in a glass bottle, has a glass dropper...just waiting to drop it and have it shatter. Maybe it reacts with plastic or maybe it's an old enough drug that is used infrequently so there isn't enough need to redesign. #MEQAPI |
| MEQAPI @meqapi @savvy_coop @EMoriartyWade @mloxton Welcome to #MEQAPI ! |
| Kimberly Amelia @fireflyrn84 LOVE this! #MEQAPI https://t.co/vmdGHbii0H |
| MEQAPI @meqapi RT @K_SalemOaks: @H_SalemOaks #MEQAPI 4 of x Packaging also protects the product from light, humidity, and other environmental factors. Overpackaging is how you would package multiple units. Sometimes foil packets are used for greater light protection. Could use more patient feedback on user-friendliness. |
| MEQAPI @meqapi RT @fireflyrn84: @Elizabe85727641 @pfanderson @meqapi Not to mention labels getting wet and then the instructions smearing down the bottle! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @mloxton Okay, so we need a video recommendation for how to hold the child while administering meds. :) #meqapi |
| MEQAPI @meqapi RT @pfanderson: @meqapi I wish that they had standard prescribing info attached to the meds. Once, an pharmacy accidentally quadrupled the dose of a new med, and my son ended up in the ER with an overdose when I gave him the amount instructed on the bottle. I wish I'd seen what was normal #meqapi |
| Kimberly Amelia @fireflyrn84 @mloxton Sitting here laughing...so, so true! #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Elizabe85727641: T6 Usability limited by size of Rx, taste, tight seals/wraps, injectableables with poor packaging, dull needles, & improper ejection mechanism. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @Elizabe85727641 Ditto inhalers! Sometimes the nozzle doesn't line up with the meds properly, or you get a dose of the carrying agent with no actual meds in it. #meqapi |
| Kevin Freiert @K_SalemOaks @fireflyrn84 #MEQAPI You bring up a good point. Packaging is also tested for leaching. Stability studies on the active ingredient, drug product, and packaging are run for years. The science to get to the expiration date has been estimated as costing around $50 million. |
| Rie Lopez, MPH (she/her) @RieOfLetters @fireflyrn84 @mloxton @PatientIntv Plugging the nose has not worked in the past. My score is 0 for 3. I am lucky they are relatively healthy, but I always ended up covered in medication. Every time. #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @K_SalemOaks @H_SalemOaks Right, but that needs a feedback loop from patient to vendor - why are they splitting it? Is to large to swallow? Is the dosage too high? Is it so expensive they are self rationing? etc. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @K_SalemOaks: @fireflyrn84 #MEQAPI You bring up a good point. Packaging is also tested for leaching. Stability studies on the active ingredient, drug product, and packaging are run for years. The science to get to the expiration date has been estimated as costing around $50 million. |
| MEQAPI @meqapi RT @Elizabe85727641: T6 Usability limited by size of Rx, taste, tight seals/wraps, injectableables with poor packaging, dull needles, & improper ejection mechanism. #meqapi |
| MEQAPI @meqapi #MEQAPI CT: What should we do differently about medication packing and presentation that cause #WrapRage? What will YOU do differently? https://t.co/bJC9amhzes |
| MEQAPI @meqapi RT @pfanderson: @fireflyrn84 @Elizabe85727641 @meqapi Or have free plastic enlargers to wrap around the bottles to make them more readable. #meqapi |
| Kimberly Amelia @fireflyrn84 @RieOfLetters @mloxton @PatientIntv I ended up with a lot of medication of me while I worked ER and peds too, also geriatrics tend to enjoy spitting medications as a hobby :) #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @pfanderson @fireflyrn84 @Elizabe85727641 @meqapi That would be cool. I could use them to read maps and directions too! #meqapi |
| MEQAPI @meqapi RT @fireflyrn84: My eye drops come in a glass bottle, has a glass dropper...just waiting to drop it and have it shatter. Maybe it reacts with plastic or maybe it's an old enough drug that is used infrequently so there isn't enough need to redesign. #MEQAPI |
| PF Anderson @pfanderson@disabled.social @pfanderson @RieOfLetters @fireflyrn84 @mloxton @PatientIntv I found the spoons didn't work well, and the "shotters" with no needle allowed me to push it under the tongue, so the kid couldn't taste it. That worked until he developed the needle phobia, and even shotters w/o needles triggered a response #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @fireflyrn84 Ha! I once had the glass part fall out into the bottle. Took ages and lots of different trick to retrieve! #meqapi |
| Heidi Grabenstatter @PatientIntv @RieOfLetters @fireflyrn84 @mloxton I have about the same luck getting the medicine in them (but the same good luck that they are all healthy). . . I like to think of them as the extra-spirited type. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @fireflyrn84 @RieOfLetters @mloxton @PatientIntv Oh dear. I hope I don't do that someday. #meqapi |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @pfanderson @mloxton It's always best to put a kid in the supine position for administration. IMHO this nurturing position makes it easier for both parent & child #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @mloxton Okay, so we need a video recommendation for how to hold the child while administering meds. :) #meqapi |
| Rie Lopez, MPH (she/her) @RieOfLetters @EMoriartyWade @meqapi It is like being the worst Tooth Fairy ever, @EMoriartyWade! Whoever came up with that idea didn't talk to patients or their carers. #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @Elizabe85727641 Ditto inhalers! Sometimes the nozzle doesn't line up with the meds properly, or you get a dose of the carrying agent with no actual meds in it. #meqapi |
| PF Anderson @pfanderson@disabled.social @pfanderson @ShereesePubHlth @mloxton Agree. And gently covering nose so they can't smell it as much. Have to be gentle, so you don't hurt them. (But they are struggling, and that's hard). Also have to be careful of choking when supine #meqapi |
| MEQAPI @meqapi RT @K_SalemOaks: @fireflyrn84 #MEQAPI You bring up a good point. Packaging is also tested for leaching. Stability studies on the active ingredient, drug product, and packaging are run for years. The science to get to the expiration date has been estimated as costing around $50 million. |
| MEQAPI @meqapi RT @RieOfLetters: @fireflyrn84 @mloxton @PatientIntv Plugging the nose has not worked in the past. My score is 0 for 3. I am lucky they are relatively healthy, but I always ended up covered in medication. Every time. #MEQAPI |
| MEQAPI @meqapi ... and that's a wrap for #MEQAPI this week! Thanks for your participation today, and please watch our site at https://t.co/PyTLnDQ4YJ for future chats https://t.co/rKV8iCZUPd |
| ElizabethKelly, Ph.D @Elizabe85727641 CT speak up, speak out based on personal experience & literature research about utilization of Rx by the patient. Report to insurance company, provider & pharmacy who dispensed drug. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton CT: We need to get patient input and participation at every stage, including design of presentation, packaging, etc. Robust feedback loops to highlight issues or opportunities to improve #meqapi |
| Heather McCullen @H_SalemOaks RT @mloxton: CT: CT: We need to get patient input and participation at every stage, including design of presentation, packaging, etc. Robust feedback loops to highlight issues or opportunities to improve #meqapi |
| Kimberly Amelia @fireflyrn84 CT: Loved this chat! Thanks for the invite. Great topic and something that needs to have more awareness and advocacy around. #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: @RieOfLetters @mloxton @PatientIntv I ended up with a lot of medication of me while I worked ER and peds too, also geriatrics tend to enjoy spitting medications as a hobby :) #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @RieOfLetters @fireflyrn84 @mloxton @PatientIntv I found the spoons didn't work well, and the "shotters" with no needle allowed me to push it under the tongue, so the kid couldn't taste it. That worked until he developed the needle phobia, and even shotters w/o needles triggered a response #meqapi |
| MEQAPI @meqapi RT @PatientIntv: @RieOfLetters @fireflyrn84 @mloxton I have about the same luck getting the medicine in them (but the same good luck that they are all healthy). . . I like to think of them as the extra-spirited type. #meqapi |
| MEQAPI @meqapi RT @RieOfLetters: @EMoriartyWade @meqapi It is like being the worst Tooth Fairy ever, @EMoriartyWade! Whoever came up with that idea didn't talk to patients or their carers. #MEQAPI |
| MEQAPI @meqapi RT @pfanderson: @ShereesePubHlth @mloxton Agree. And gently covering nose so they can't smell it as much. Have to be gentle, so you don't hurt them. (But they are struggling, and that's hard). Also have to be careful of choking when supine #meqapi |
| MEQAPI @meqapi RT @Elizabe85727641: CT speak up, speak out based on personal experience & literature research about utilization of Rx by the patient. Report to insurance company, provider & pharmacy who dispensed drug. #meqapi |
| MEQAPI @meqapi @fireflyrn84 We are on every week THU at 3ET. You can watch for announcements of upcoming chats at https://t.co/PyTLnDytA9 Thanks for participating! #MEQAPI |
| Erin Moriarty Wade @EMoriartyWade @mloxton Ha ha! Not sure if someone said this already but a nurse once told me to blow into their face as you are squirting the medicine into their mouth because it somehow induced them to swallow. It works for my extremely uncooperative son :) #MEQAPI |
| MEQAPI @meqapi RT @EMoriartyWade: @mloxton Ha ha! Not sure if someone said this already but a nurse once told me to blow into their face as you are squirting the medicine into their mouth because it somehow induced them to swallow. It works for my extremely uncooperative son :) #MEQAPI |
| MEQAPI @meqapi RT @fireflyrn84: CT: CT: Loved this chat! Thanks for the invite. Great topic and something that needs to have more awareness and advocacy around. #MEQAPI |
| Heidi Grabenstatter @PatientIntv Thank you for the chat! It's important that we continue to share what works and what doesn't for patients, families, and nurses (who in the end, are the ones taking and administering the meds). #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @RieOfLetters @EMoriartyWade @meqapi Yah, I was just thinking. Sort of like the Stabby-Stabby Fairy #meqapi |
| MEQAPI @meqapi RT @PatientIntv: Thank you for the chat! It's important that we continue to share what works and what doesn't for patients, families, and nurses (who in the end, are the ones taking and administering the meds). #MEQAPI |
| Rie Lopez, MPH (she/her) @RieOfLetters @pfanderson @fireflyrn84 @mloxton @PatientIntv That is definitely a challenge! We have a lot of texture/taste issues in my house, so it increased the difficulty of administering medication, but that seems to pale in comparison. #MEQAPI |
| MEQAPI @meqapi @PatientIntv A pleasure Heidi, and thanks for joining #MEQAPI |
| Rie Lopez, MPH (she/her) @RieOfLetters RT @mloxton: T6 ok, so I have to say, there is a very special place in Hell for the people who designed packaging of ultra-sticky stuff to be poured into a little measuring spoon so a toddler can blow it across one's face and chest like postmodern graffiti #meqapi |
| MEQAPI @meqapi RT @RieOfLetters: @pfanderson @fireflyrn84 @mloxton @PatientIntv That is definitely a challenge! We have a lot of texture/taste issues in my house, so it increased the difficulty of administering medication, but that seems to pale in comparison. #MEQAPI |
#MEQAPI content from Twitter.