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We had some of the same problems as Brenda that were resolved with
DTS's.  

For split meds, we use the Link function instead. So we link the 2 doses
together. Nursing would rather see it as a split but I have also been
told that splits don't work well with dispensing machines either.
Brenda, if Meditech ever resolves the split issue, I would be interested
in getting the DTS info from you.

For enter med, we have not had any problems with the med showing up on
the Emar after nursing scans and enters it.  The only thing we have set
to N on page 2 of the MAR access is Include stock orders.  Can't recall
where else there might be settings that affect this.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Brenda Wiley
Sent: Monday, August 21, 2006 7:51 AM
To: Hennessey, Lisa; [EMAIL PROTECTED]
Subject: Re: [MEDITECH-L] FW: BMV Usage

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attachments.    The meditech-l web site is MTUsers.com
======================================

Hi Lisa,

What problems are you having?  You definitely want to
use Scan Med, in order to gain the benefits of BMV ...
right drug, right dose, right time, right patient etc.
 We plan to train users that Full Doc is ONLY for
after the fact documenting due to down times.  Even
emergencies, we are going to train users that that is
when scanning meds is even MORE important, since that
is when mistakes are even more likely to happen.  I
plan to put Full Document LAST on their verb strip, so
it is not right there staring them in the face!!

We are to go LIVE w/ BMV in October, and in my
testing, I've come up with several problems that ended
up being resolved w/ DTS's (I had to find the problems
tho, before Meditech found the DTS!)

We are Magic 5.4. 

PHA DTS 7088 --- allows user to change unit type. 
Particularly useful for things like creams and
ointments.  In Full Doc you could change the default 1
Gram to 1 Application, but could not do so in Scan
Med.  With this DTS, you can also do it in Scan Med.

PHA DTS 6924 and 7842 --- allows system to recognize
LINKed orders w/ Scan Med as well as Full Doc.

PHA DTSs 6461 and 6702 corrected problems I discovered
with inconsistent Medication Administration reports
and MAR exception reports.

PHA DTS 7030 corrected the problem of the eMAR verb
strip being case sensitive.

PHA DTS 6382, 7109, 6301, 7734, 7570 corrected other
reporting problems, particularly the problem of
Pharmacy reports printing out "times" for PRN meds (ie
... if a prn drug was ordered q1 hr, reports printed
out with times due, such as:

0100
0200
0300
...
...
2300
2400

Two problems Meditech has yet to resolve are:

Having the system recognize split med orders.  If you
have an order, for example for coumadin 8mg, and
pharmacy supplies it as a 5mg tab and a 3mg tab, I
want the system to recognize the 3mg tab when I scan
it as part of this split order.  (It doesn't ... it
says "3mg coumadin not on patient's MAR ... do you
wish to add it". 

Meditech says to use compound verification to verify
the right components are present, and then scan the
RX#.  I find this unacceptable, and have asked them to
correct this (apparently this functionality is present
in 5.5).

The other problem they haven't been able to correct as
of yet is when a nurse scans a med not on the eMAR
(say in an emergency), gives permission to enter that
drug (via Enter Med routine), the system properly
enters the drug and records it as given, but it never
shows up on the eMAR until the pharmacist completes
and verifies the order.  Our eMAR settings are set to
allow viewing of all drug orders.  

If any one has any input on these two problems, I'd
love to hear it!!

Please feel free to call or email w/ any questions.

Brenda Wiley, RN
Tryansylvania Community Hospital, Inc.
Brevard, NC  28712
 
--- "Hennessey, Lisa" <[EMAIL PROTECTED]> wrote:

> ======================================
> 
> >     Hi,
> 
>         I wanted to take a quick poll of what routine in
> BMV most
> facilities are using - are you using Scan Meds or
> Full Document?  
> 
>        
> 
>       We have had issues with the Scan Meds routine on
> several
> occasions and Meditech is having a hard time
> correcting them since they
> have tested with the Full Document routine and don't
> see as prepared to
> test and/or work with the Scan Meds..  Just wanted
> to check to see if
> anyone else was having problems with this as well.
> 
>       
>       Thanks in advance for your help.
> 
>        
> 
>       Thanks, 
>       Lisa Hennessey
> 
>       Systems Coordinator
> 
>       Burdette Tomlin Memorial Hospital
> 
>       609-463-2841


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