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To support compounding of products that are sterile and chemically stable, beyond use dating of admixtures must include a thorough evaluation of appropriate resources. In most instances, resources provide documentation of a specific compounded admixture, at a specific concentration and storage parameters, that does not coincide with current operations or patient-specific requirements. To meet the operational demands of a pharmacy, institutions employ a referenced guideline approach to guide decision making for safe sterile admixing. Often these guidelines are established and maintained at individual practicing locations with varying levels of detail and accuracy. In an effort to improve sterile compounding across a multihospital system, we developed and implemented beyond use dating guidelines to improve consistency and patient safety while meeting regulatory concerns. Beyond use date BUD is the date after which a compounded preparation shall not be used, and it is set based on the date on which the preparation was compounded.

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Loneliness is a silent killer. There are many practical suggestions combating loneliness. A little bit of technology can lend support. Here are seven apps and sites for connecting with others. Plenty of resources on the internet will offer new friends, but only a few of them will deliver on the promise. We will cut to the chase and lay out the main web platforms out there that actually work. Sure, when it comes to dating apps Tinder is the first one that comes to mind.

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