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We have EMAR up, but not BMV, so I don't know how this will work for
BMV.  For the EMAR, what you are describing is a range order - Our
pharmacists put it in the system as a zero dose, with the parameters in
the label comments. Our physicians are supposed to write the order with
the parameters ( 2mg for mild pain, 4mg for moderate, 8mg for severe)
and we have a pain policy that defines what mild, moderate, and severe
pain is on the pain scale (ie. numeric scale "8" constitutes severe
pain, so nurse picks corresponding dose to give).  Nurse documents
amount given using ADJUST DOSE routine and the attached assessement has
a query to document the pain score used to determine how much to give.
We are in the process of building for CPOE and we are building the
parameters for the MD's into the order strings.  Will be lovely when PRN
reason fields work in POM!
Hope this helps,
Phyllis


Phyllis Fallon, RN
IS Clinical Analyst
Exeter Hospital
Exeter, NH 03833
603.580.7897
Fax 603.580.7215
[EMAIL PROTECTED]




-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Duckworth, Russell
D
Sent: Tuesday, May 02, 2006 11:58 AM
To: [email protected]
Subject: [MEDITECH-L] eMAR and BMV


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Meditech-L-

We are in the process of gearing up for the eMAR and BMV.  For those
sites which have already done this, how did you handle variable dose
orders?

Example: Morphine IV 2-10mg q2h

How does your physicians write these orders now and/or how does the
Pharmacy put them into the system? 

Thanks in advance for your help!


Deborah O'Briant, RN
Senior Project Manager
Information Technology-Applications
Arkansas Children's Hospital
(501) 364-3643
Fax: (501) 364-6859
E-mail: [EMAIL PROTECTED]
Visit our website: www.archildrens.org


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