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Please post

Kimberly J. Hendrix, RN
Sr. Clinical Informatics Analyst
Newberry County Memorial Hospital
PO Box 497 - 2669 Kinards Street
Newberry, SC 29108
(803) 276-7570 ext. 279
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Brady, Tim
Sent: Thursday, September 14, 2006 11:17 AM
To: [email protected]
Subject: [MEDITECH-L] E-MAR without 24 hour pharmacy

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We are a MAGIC site LIVE with E-MAR and BMV and scheduled to go LIVE
with CPOE next week.  I am curious how other facilities without 24 hour
pharmacy are handling after hour medication orders.

Currently we do not show "un-verified" meds on the MAR, and a pharmacist
must be called to review and verify the order before the nurse can
document.

Our proposed plan was to show the physician entered un-verified order
and have a pharmacist verify the order in the morning.  This process
seems to flow pretty well, but we have some JCAHO concerns.

If you could answer these few questions it would give us a pretty good
feel for how others are handling this issue.

1. Is your pharmacy open 24 hours?
2. Are you LIVE with E-MAR?
3. Are you LIVE with POM?
4. Do you show un-verified medications on the MAR?
5. Do your nurses document on the un-verified meds at night?
6. Do your nurses document on the un-verified meds during the day?
7. If you answered no to #6, how do you prevent this?

Thanks in advance for any information you are willing to share.

Tim Brady
Director of Information Systems
Mt. Washington Pediatric Hospital
(410)578-2676


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