Thanks to all who responded. Just a few more questions. We do not have EMAR. Our MARs are generated (daily) thru pharmacy and are replaced with the new ones every evening before pharmacy leaves. (not a 24 hour pharmacy). If the order is placed by pharmacy (give sometime before discharge) it shows up every day on the MAR. Pharmacy doesn't know when the patient is to leave, or if the med has been given. (so it is never really DC'd off the MAR). It keeps printing on the MAR, which can lead to duplicate administration by nursing. I was just wondering if any one used some sort of notification for nursing to have them follow-up the drug, or some sort of notification to pharmacy that it had been given and to please DC off the MAR. I've thought about having the pyxis txn slips that print on removal sent to pharmacy..lots of little papers that could get lost in route. Maybe a pyxis printout every morning to pharmacy on all vaccines removed. Just bouncing ideas around. I like Tom's idea of a sticker placed on the discharge instruction sheet, who places this sticker on the sheet and how is it generated? Wondering if anyone else had this problem and how they solved it.
Thanks Diane
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