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Hi Sue-
Unfortunately, most facilities are entering that as 2
separate orders if they want the "Dose Warning" to appear - 1 tab for mild pain,
2 for moderate pain, etc. If you use the zero dose box (Dose
Instructions), that does appear on the first page of Full Document (FD) in the
eMAR so nursing will have the info they need.
One thought: if the adjust dose button is not available on
the verb strip the nurse won't be able to administer anything but what is
indicated in the order entry so that "Dose Warning" message is irrelevant and
isn't needed. In fact it should never appear...
Hope all is well up north - best of luck -
Kevin.
Kevin McConnell,
PharmD.
Clinical
Consultant
(713)480-6810
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Downs, Sue Sent: Friday, June 09, 2006 11:52 AM To: [email protected] Subject: [MEDITECH-L] Zero Dosing With BMV We are in the process of
implementing Meditech BMV and have a question about zero dosing. Presently, we are using McKesson’s
Bedside Medication Verification product AdminRX. When pharmacy enters a zero
dosed medication, for example Lortab 1-2 tablets, the McKesson product
recognizes 1-2 tablets and will give an overdose warning when an administration
of 3 tablets is attempted. It will not give a warning if the nurse attempts to
administer either 1or 2 tablets. It is our understanding that the
Meditech BMV product does not recognize the dose limitations entered for 0 dose
orders. How are other facilities
handling this? Our Meditech
specialist is recommending we include the dose range in the comment field. We want to streamline the workflow for
our pharmacists and also ensure nurses receive the proper warning messages for
overdose/underdose. Any help you can give us would be
GREATLY appreciated. Thanks, Sue
Downs, RPh St.
Luke's Pharmacy 218-249-5431
(phone) 218-249-5609
(fax) |
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