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Hi Dana-
This is a long standing issues for smaller facilities
without that 24 hour coverage of in-house Pharmacy. The knee-jerk reaction
has been to look at those 3rd party vendors that are providing "order
entry"...at a premium price I might add. I think the able for nursing to
enter the orders that they need requires a relatively small training
window.
The bigger issue for nursing seems to be - what do we do
with the orders we don't use? Example: physician leaves 6 orders after
hours and only 2 are needed for administration before the pharmacy opens.
If we provide a viable solution to enter those 2 orders, what do we do with the
other 4? Typically, nursing will "sign-off" all of the orders at
once. It seems that a solid P&P needs to be developed and/or re-worked
to cover this issue as well.
Best of luck - Kevin.
Kevin McConnell,
PharmD.
Clinical
Consultant
(713)480-6810
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dana Pfingstler Sent: Monday, April 17, 2006 9:53 AM To: Meditech L Subject: [MEDITECH-L] BMV without 24 hour pharmacy (Magic 5.4) Good Morning Everyone, We are in the beginning stages of BMV and I have a question for those live with BMV and NO 24 hour pharmacy coverage.
Our process now is the order is faxed to pharmacy for entering in the morning. The meds are handwritten on a MAR and the chart and MAR “noted” by the RN. When we go live with BMV and EMAR, there will be no paper MAR to write these orders on, and no off hours pharmacy to enter them into the system.
Any thoughts and help would be greatly appreciated.
Dana Pfingstler, RN Nursing Analyst Elk Regional Health Center St Marys, PA 15857 814 788-8682 ------------------------------------------------------------------------------------
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