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I am having a problem with Meditech allowing nurses to access doses of medications when I don't want them to. As a policy, we don't allow nursing to split tablets (for non-controlled substances). If the patient requires a fractional tablet, it is prepared in the pharmacy and sent to the patient's room. My problem is that if the whole table is available in the Pyxis dispensing machine, Meditech will ignore the fact that I have set the Inventory to Main and allows the nurse to pull a full tablet out of the machine. Does anybody have a solution that blocks the nurse from having access to a medication in their Pyxis machine if it is a fractional dose?
I also have a problem on the opposite side. For controlled substances we do allow the nurses to split tablets, but when the nurse pulls up the medication on the Pyxis screen, it tells her to pull out 1 tablet, even if the dose is only a half tab dose. The appropriate strength is displayed on the screen, but when the nurse sees 1 tablet, that is what she pulls out and administers. I know that this is more a Pyxis question than Meditech, but I though somebody might have some insights for me. How can I get Pyxis to display fractional units for dispensing?
Bob Cutter, RPh
Lead Pharmacist
Willamette Falls Hospital
Oregon City, OR 97045
503-650-6243=========================================================
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