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Hey Gloria- I see a lot of potential issue with what I’m
reading – first, I’m assuming the orders are crossing as unverified
because the Pharmacy would change to the appropriate drug. Also, do you have the Meditech/Omnicell
interface running? Sounds like the
unverified order is crossing to your eMAR and it won’t to the cabinet. And why is everything orderable in POM
if it’s not available? Worst case scenario, a POM Rule with your
cabinet inventory in a macro – you’d have to edit the PHA.RX.rx.file macro and then maintain it moving forward as
the inventory changed in the cabinet. Then compare the “ordered drug”
to the macro list, instead of a favorite list…which I can’t see
maintaining with any accuracy if you have several physicians. I think a lot of sites won’t have an
issue like this because for one, I don’t think the eMAR is used in
outpatient locations as much as the inpatient ones – but I think most
folks still have their ER cabinets set to “non-profile” so they’re
not overriding the meds. Best of luck – Kevin. From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Reid, Gloria Hi! We are C/S 5.5 SR2. We went LIVE with EDM
back in April and brought up the POM component in July. Only a day into
our go LIVE with POM, we quickly decided to put a halt to the medication
ordering through POM. We were having too many problems. Since then,
we’ve done many controlled parallel runs and have identified the
problems. All problems stem from this one issue. Currently, we have
all drugs in PHA set to be orderable through POM. The problem is that not
all of these drugs are stocked in Omnicell as they are ordered. So,
we’ve had lots of problems with because of the way the medication is
ordered, the order not being sent to Omnicell. In most cases the
medication is, however, stocked in Omnicell. So, then the nurse ends up
doing an override to dispense the medication from Omnicell which creates a
separate order. Then we end up with duplicate orders on the MAR.
For example, in the ER, our Omnicell has Dilaudid 2mg vials. If the
physician orders Dilaudid 4mg, the system would not send the order to the
Omnicell Cabinet because it would think the med wasn’t stocked in the
cabinet since we do actually have 4mg vial. So, rather than it knowing to
use the 2mg vial and just dispense 2 vials, it considers the drug to be
dispensed from the MAIN inventory from Pharmacy. I’m just wondering
if there’s something we can do differently in the way the drugs are
defined in PHA to help with this problem. Any suggestions? Have any
of you experienced this problem? Right now, we’re in the process of
building a Favorite list for each physician of the medications that are stocked
in their ER cabinet to hopefully resolve this problem. This is very time
consuming though because the only way to set this up is to emulate each
physician and mimic medication ordering. There’s also no copy
feature for Favorites in POM. So, this would have to be done for each
physician. We’re only working in the ED right now. So,
we’re certainly hoping we don’t have to go this route when we bring
up POM hospital wide. We’d really appreciate in feedback anyone
might have. Gloria J. Reid MIS Assistant
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