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I apologize in advance for the following book, but we really need some help
with this:
We use a similar process. However, it will be interesting to learn how the
JCAHO looks at this issue, since at our unannounced visit last week they
wanted to know how the pharmacist was reviewing every non-emergent
medication administered in the ED "unless a licensed independent
practitioner controls the ordering, preparation, and administration of the
medication," it is likely that, if they happen to notice the process, they
will insist that a pharmacist control the replacement of meds to the box
since that process is not emergent.
We would be very interested to know how other hospitals meet the intent of
MM.4.10 EM1, both for inpatients and outpatients. Our pharmacy staff is
stretched very thinly already, and we do not have (and will not soon have)
the luxury of PyxisRx profiling, although we do have Pyxis 2000 MedStations
in most patient care areas. The JCAHO surveyor insists that we have a
process in place that insures that a nurse or respiratory therapist or
radiology tech knows that all non-emergent medications administered have
been reviewed by a pharmacist PRIOR TO administration to the patient. The
only thing we could think of was making sure they check in PCI before
administering any new meds, to make sure the pharmacist's entry of the
medication into the system matches the nurse's interpretation of the new
order and it has been reviewed.
Along those same lines, how are people handling the logistics of getting MAR
labels onto the MARs in a timely manner? We have patients at 20 nursing
stations plus radiology, on six floors of our hospital, 17 of which have
Pyxis MedStations. We do have a pneumatic tube system for transport of
small items.
Lynn
Lynn Jorgensen-Benefiel, R.Ph.
Director of Pharmacy
Wadley Regional Medical Center
Tel: 903-798-7044
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, July 06, 2006 8:24 PM
To: [email protected]
Date: Wed, 5 Jul 2006 08:42:04 -0600
From: "DIANE" <[EMAIL PROTECTED]>
Subject: RE: [MEDITECH-L] ED Meds
To: <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset="us-ascii"
Hi Brent,
We also use Pyxis, and we have "stand alone" crash carts and emergency boxes
"RSI", etc. We have our nurses remove items from the pyxis to replace
anything used from these carts after the emergency is over. Pharmacy then
restocks Pyxis and relocks emergency boxes when refilled by nurses. This
keeps patient billing simple, everything is charged through Pyxis.
Diane
_____
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Sheral Graham
Sent: Friday, June 30, 2006 10:38 AM
To: Massey, Brent
Cc: [EMAIL PROTECTED]; [email protected]
Subject: Re: [MEDITECH-L] ED Meds
Pyxis is my preference with a "stand alone" crash cart box that is manually
charged and filled.
Sheral Graham
Healthlink, a Division of IBM
IBM Global Business Services
cell: 541-680-3239
[EMAIL PROTECTED]
"Massey, Brent" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED]
06/28/2006 05:10 PM
To
<[email protected]>
cc
Subject
[MEDITECH-L] ED Meds
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Can anybody out there give me some suggestions on how their Emergency
Departments are handling meds? Are you using computer carts, locked portable
cabinets, Pyxis, etc?
Just looking for some suggestions as to how others have set up their ED's as
well as what might be considered best practice.
Thanks for any suggestions!
Brent Massey
Sr. Implementation Specialist
First Consulting Group
Home Office: 413.283.3613
Mobile: 413.668.8651
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