Forum Posts

Bruce Collett
May 16, 2022
In USP<800>
The amount of PPE depends on level of HD. Take a look at the video from Elkhart Hospital that is posted as a YouTube and can be found on our How To page. The practices demonstrated in the video are suggestions and not certified by Elkhart or US Pharmacopeia (USP). For the most widely recognized guidance, take a look at USP.org. USP holds seminars about UPS<800> and other chapters like USP<795> and USP<797> including presentations by pharmacists and healthcare workplace safety experts. Look for There are other discussions about USP<800> in our Forum.
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Bruce Collett
Apr 21, 2022
In How to Use
The RxCrush Pill Pouch is meant to be a one time use. Also pharmacists recommend that only one drug be crushed at a time.
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Bruce Collett
Mar 09, 2022
In How to Use
"Crushing a med in the pharmacy but not mixing it there, does the pouch need a cap? Will any crushed powder escape if there is no cap?", is the question asked by a customer. A cap isn't absolutely necessary but recommended. The pill pouch is likely to have some pill dust escape while the meds are crushed in the pouch and when the pouch is handled or transported unless the pouch is capped or sealed with an ENFit syringe. We recommend using our item number CA03 to seal the pouch while crushing and handling, which is shown here:https://www.rxcrush.com/product-page/ca03-enfit-pill-pouch-cap-qty-100-1. A syringe attached to the pouch acts as a handle for the pouch while meds are being crushed in the RxCrush Pill Crusher. The CA03 cap also is a useful handle for the pouch while crushing and transporting.
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Bruce Collett
Feb 28, 2022
In Device Maintenance
A long time customer wants to know how to eliminate noise from crushers that squeak from the roller. The roller is made of PVC material and is mounted on a stainless steel shaft. Many cycles of crushing and cleaning of the crusher may dry out the materials enough to cause squeaking. The remedy is to use a Q Tip to apply petroleum jelly on the stainless steel shaft at the place where the snap ring holds the roller in place. Dab a small amount of petroleum jelly and then roll back in forth, working the jelly into the gap between the roller and the shaft. After several cycles the jelly will cover the space and will eliminate any squeaks.
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Bruce Collett
Feb 18, 2022
In How to Use
There are various opinions about crushing more than one medication at a time. Different pharmacists require only 1 medication to be crushed at a time. Other pharmacists approve crushing a collection of meds at a time. There doesn't seem to be standard guidance from the pharmacy world. The PP06 pouch can hold 50ml of liquid. We have tested 8 pills in one crushing and with enough crushing and rolling to pulverize medications into fine dust, it has been effective handling 8 different medications.
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Bruce Collett
Feb 03, 2022
In USP<800>
Fred Massoomi, PharmD, BCSCP, FASHP, is senior director of hospital and health-system pharmacy for Visante, Inc. He received his doctorate from the University of Kansas School of Pharmacy. Fred is a member of PP&P’s Editorial Board. See the link to this article in
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Bruce Collett
Apr 09, 2021
In How to Use
A nurse was asking me if they could use thickener either with the water in the pouch or after drawing it up in the syringe if the crushed medication was to be given orally in a patient on a honey thick diet. They use a thickening powder I believe for these patients. Would they be able to crush, dissolve in the water, draw out, and then add the thickener in a separate container before administering orally? Thanks, -- Christy Havens, PharmD, BCPS Supervisor Inpatient Pharmacy CHI Health Creighton University Medical Center-Bergan Mercy CHI Health Lasting Hope Recovery Center CHI Health University Campus 402.398.5971 (O) christine.havens@commonspirit.org
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Bruce Collett
Feb 01, 2021
In How to Use
Capsules that contain granulated medication can be crushed in Rx Crush Pill Pouches with some additional technique. After putting a capsule in the Rx Crush Pill Pouch with a syringe attached with liquid in the syringe, use the crush plate of the Rx Crush Pill Crusher to crack open the capsule. Press the crusher only once to crack the capsule to minimize the number of fragments of the capsule in the pouch. Shake the pill pouch to empty granules from the capsule. Use fingers to manipulate the capsule to remove granules. Inject liquid in the syringe to transfer the granulated medication into an enteral feeding tube. Shake the pill pouch with the liquid to concentrate granules at the bottom of the pill pouch. Its helpful to trap the capsule with fingers to keep the capsule material in the upper part of the pill pouch. Capsule material will clog the opening of the Rx Crush Pill Pouch so isolate the capsule by holding it in another part of the pouch. The granulated medication will easily be sucked into the syringe so it can then be injected into an enteral feeding tube. There needs to be more than one irrigation process to clear all the granules from the Rx Crush Pill Pouch to the syringe and into enteral feeding gear. Pictures of the process are shown below.
Crushing Capsules with Granules content media
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Bruce Collett
Jan 21, 2021
In Covid-19
The USP web site has updates about the status of vaccines and the latest care advice. It can be found here: https://www.usp.org/covid-19
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Bruce Collett
Jan 21, 2021
In How to Use
Review the steps for using Rx Crush and how to attach syringes to pill pouch. Here is a video showing regular steps which need to be adapted to use with Gel caps. https://www.rxcrush.com/how-it-works. Before putting gel cap into an Rx Crush Pill pouch, lance the gel cap with a needle and drop into an Rx Crush pill pouch. After the pouch is sealed and a syringe is attached with diluent loaded into the syringe, use the Crush plate of the crusher to squeeze the contents of the gel capsule into the pouch. There is no need to use the roller of the Crusher although it may be useful to empty the gel cap. Inject solution into the Rx Crush pill pouch and shake vigorously to dissolve the medication. The process may need to be repeated several times to dissolve all the medication. Gel caps can be dissolved without emptying the gel cap using warm water but it does take a while to dissolve the gel cap.
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Bruce Collett
Jan 21, 2021
In How to Use
Rx Crush Pill Pouches and Pill Crusher can be used to crush hard capsules and dissolve medication for introduction into enteral feeding systems and or into food. Review the How to Use video here to become familiar with the steps for using Rx Crush. https://www.rxcrush.com/how-it-works. Here are some steps to accomplish this. Use the crush plate on the pill crusher to crack open the hard capsule shell of the medication. Crush the capsule as little as possible to reduce the number of capsule fragments. Avoid using the roller on the capsule for the same reason. Tap and shake the pouch to remove as much medication from the capsule as possible. Inject liquid into the pill pouch using the attached syringe. There will still be some medication in the capsule that will dissolve after diluent is introduced into the pouch. Shake the solution and medication vigorously to dissolve as much of the medication as possible. Use fingers to trap capsule material while extracting solution from the pill pouch. Capsule fragments can plug the opening to the pouch fitting so keep those fragments away from the opening while drawing out the syringe. Repeat as many times as necessary to dissolve all the medication.
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Bruce Collett
May 11, 2020
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Bruce Collett
Mar 20, 2020
In Covid-19
See attached documents from UPS See all USP information at: https://www.usp.org/
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Bruce Collett
Feb 10, 2020
In How to Use
Are there instructions on how to safely use the Crusher and Pill Pouches.
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Bruce Collett
Admin
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