We are not a children's hospital, however, we had the same questions for
any liquids or multi dosing units when setting these up in the PHA
dictionaries in preparation for BMV. We toyed with this idea as well,
but when we spoke with Meditech about it, they recommended that we NOT
do this. This was their response:

 

 "After further discussion with folks at MEDITECH, it was found that
doing so would not be
beneficial.  Essentially this direction would exchange one message for
another
message which is not the intended result.  Building these additional
entries
would actually subvert the dose checking that occurs now."

 

We are a little concerned about the messaging that does occur, and how
it does not really verify that the correct dose has been scanned, only
that the dose scanned does not match the Order Size in PHA. We have
ultimately decided that the best way to verify the dose is to set the
Order Size in PHA to 0 on these types of medications, which will prompt
the nurse to adjust dose and enter the amount that she is getting ready
to administer to the patient.

 

Cindi Lockhart

Clinical Application Specialist PHA/POM/EMR/PCM

Citizens Memorial Hospital

 

 

  _____  

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Pivonka, Michelle
Sent: Monday, November 13, 2006 3:13 PM
To: [email protected]
Subject: [MEDITECH-L] BMV at children's hospitals/peds?

 

Dear folks out in "L" land:

We are Magic 5.5 SR1 and are in the beginning phases of setting up BMV.
Are there any children's hospitals or pediatric units doing BMV? How are
you handling the weight based dosing/different concentrations? Are you
using the alt NDC numbers, or creating all new entries in the drug
dictionary for each of the concentrations?

Thanks in advance for your help!

Michelle

Michelle Pivonka, RN

Systems Analyst

Information Services

Sinai Health System

(773) 257-6020

[EMAIL PROTECTED]

www.sinai.org

"A pessimist sees the difficulty in every opportunity; an optimist sees
the opportunity in every difficulty."
Sir Winston Churchill 

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