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I've had a couple of requests to post the rule that restricts the 'Enter
Med' routine for NUR to scanned only items (no lookup or free text
allowed).
I had to get Meditech to develop the keyword for me which isolates
whether or not the drug was scanned into the EM routine.
Rule:
;This rule should only affect all NON-pharmacy employees.
;
"You must SCAN the medication bar code to use the Enter Med
routine."^MSG, IF{[f user]$4="PHAR"; IF{[f z rx drug m scanned]_.=. [f
rx err msg](MSG);1}};
The key to the rule is the custom keyword. We are magic 5.5 SR2. When
we were 4.9 SR3 a different keyword worked but somewhere in the upgrade
process they changed how they were storing the 'scanned Y/N'
information.
Keyword:
PHA.RX.nur.med.order^TEST,IF{'TEST 1;@PHA.RX.nur.medo.ndc.number^A,
%PHA.BARCODE.FMT.test(A)}
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: Brenda Wiley [mailto:[EMAIL PROTECTED]
Sent: Tuesday, August 08, 2006 7:03 AM
To: Jeff Lee
Subject: Re: FW: [MEDITECH-L] Meds after pharmacy is closed
Hi Jeff,
How are you restricting lookup? We're to go LIVE w/
BMV in October, and the vast, vast choices w/ lookup
is concerning me.
Brenda Wiley, RN
Transylvania Community Hospital, Inc.
Brevard, NC
--- Jeff Lee <[EMAIL PROTECTED]> wrote:
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> will be converted to
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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
>
> All messages should be posted in plain text. HTML
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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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