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Hi all,

 

Two questions for the POM Community; my questions are also related to an EMAR environment:

 

1. How have you handled discussions on what happens when Pharmacy incorporates a “cosmetic/minor” change to the original POM order? (This equates to the intent of the order not changing but some manual intervention has been incorporated to the original order) Possible change may include: Re-formatting or adding dose instructions, re-formatting or adding admin criteria, or changing the drug form because the wrong order string was selected by the Physician.

 

We have heard that some sites create an Order Source called “PC - Pharmacy Correction” which is set to not queue for the ordering Physician to Electronically Sign.  

We have tried to implement this solution but it is challenging to define when the “PC - Pharmacy Correction” should be use.  We want to use “PC - Pharmacy Correction” in situations when “the intent of the order does not change” but it is difficult to really define what “the intent of the order does not changing” really means.  Each discipline (Pharmacy, Nursing, Physician) doesn’t want to make an unintentional error and not have people be alerted so the end result, in the name of “safety“,  is that “PC - Pharmacy Correction” is sparingly used and the original Order Source called “CPOE” is not changed causing orders to be queued to the original physician to be Electronically Signed which lets the Physician know that some change in the order has taken place.  This also introduces more interesting challenges whereas the audit trail detailing what has been changed in the system for the Physician to review is often not very clear, difficult to interpret, and not Physician friendly.

 

2. Do your Nurses cross check the POM Medication Orders that appear in EMAR against anything and is there any reason for this to be done? (i.e. A Paper report or Order Sheet generated from the system)

 

Here lies the root of the question.  There always is a mixture of POM orders and Written orders.  So at any given time the medications that appear on the EMAR are a mixture of orders.  For the written orders, the Nurse compares the physical written order sheet to what appears in EMAR to see if there are any missed medications or transcription errors from Pharmacy.  The Nurse currently doesn’t have any physical piece of paper to compare the POM Medication order to what appears in EMAR.  In an ideal world the POM order from the Physician is entered perfectly and Pharmacy doesn’t have to do anything except verify the order.  But what happens when the Pharmacy has to make a “cosmetic/minor” change to the original CPOE order?”  

Even though the intent of the order hasn’t changed should Nursing be aware that the original order that the Physician entered has actually been changed?  And in what mechanism should this be done?  We could use the MEDITECH POM Order Sheet but is this practical?  There would be so many single pieces of computer generated Order Sheets to look through.)

 

I think I secretly embedded 100 questions in my 2 original questions. Any and all feedback would be appreciated.

 

Regards,

 

Tim Wong

Emerson Hospital

Ph: 978-287-8069

[EMAIL PROTECTED]

 

 

Tim Wong

Emerson Hospital

CPOE Project Leader

Ph: 978-287-8069

[EMAIL PROTECTED]

 

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