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We are open 24/7, but we are using Enter Med (EM) also in situations
where the nurse needs to give a dose before the pharmacist enters the
order.  We are only live currently with BMV in our neonatal icu, so this
hasn't been a high volume process.  One of the things we've done is use
a rule to restrict nurses from doing a drug lookup into PHA with EM.  We
were concerned that it would be too easy to select the wrong med (so
many look alike...e.g. heparin).  Also, we did not want them to be able
to enter free text which leads to a whole new process of 'one-time
administrations'.  The rule only allows the nurse to enter an unverified
order for the drug that they actually scanned which eliminates the need
for them to do a lookup.

In short, the EM routine should work for you with subsequent doses while
the pharmacy is closed.

Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401
 
(205) 750-5323
[EMAIL PROTECTED]

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-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Dana Pfingstler
Sent: Thursday, August 03, 2006 1:40 PM
To: Meditech L
Subject: FW: [MEDITECH-L] Meds after pharmacy is closed

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We are planning on using the ENTER MED function on the EMAR.
I can't really tell you how well it works, as we haven't gone live yet,
but
so far it appears to work ok in test.

It allows the meds to be entered onto the MAR in an unverified status,
and
allows a SIG, so the next shift knows when the drug is due again.

Pharmacy will then verify when the re-open.

Is anyone else using this process?? And is it working well??

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]
On Behalf Of Tara Mcnamara
Sent: Thursday, August 03, 2006 8:15 AM
To: Meditech L
Subject: [MEDITECH-L] Meds after pharmacy is closed

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Hi All,
    When pharmacy is closed and an order is placed, we were planning on
having the nurse pull it out of pyxis so it is available on the MAR to
document. This works, but if the patient is scheduled for a second dose
before the pharmacy is open, how others alerting the nurse on the next
shift
that another dose is due?

Thanks

Tara McNamara MT (ASCP)
Meditech Analyst
Rehabilitation Hospital of the Cape and Islands
Ph: 508-833-4025
Fx: 508-833-4056
[EMAIL PROTECTED]

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