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Dana Pfingstler, RN
Nursing Analyst
Elk Regional Health Center
St Marys, PA 15857
814 788-8682
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, April 18, 2006 9:12 AM
To: [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] BMV without 24 hour pharmacy (Magic 5.4)

We are a CS 5.4 site - implemented BMV (one unit only) on 3/28
We utilize Pyxis override during the off hours when pharmacy is not
available.  This is sent as a one time dose to the emar.  Only those drugs
that actually need administered during off hours are entered via over ride.
If the drug is to be continued - pharmacy enters a new order once they are
on site.

We have acknowledge medication at this time set to Warn not Prevent.  The
reason behind this is that not all units are up and the staff must document
against orders coming from the ED and Out Patient setting for those patients
admitted post Op from this area.  Currently they do a non-admin with the
selection of Procedural Medication - Refer to Chart.  They have been really
good at dealing with these medications.  If not documented against the drugs
would continue to show up as overdue on current eMAR - so we elected to
handle in this manner.  We are afraid if we force them to also acknowledge
these drugs we would be creating enemies.

The staff check the eMAR and acknowledge drugs prior to administration.
This is currently being completed by the charge nurse who takes off the
order.  Only RNs can acknowledge drugs.  We run the standard acknowledgment
report daily to validate.

Hope this helps
Julie

-----Original Message-----
From: Dana Pfingstler [mailto:[EMAIL PROTECTED]
Sent: Monday, April 17, 2006 10:53 AM
To: Meditech L
Subject: [MEDITECH-L] BMV without 24 hour pharmacy (Magic 5.4)


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