I created a SIG of DAY OF DISCHARGE which pharmacy enters with a
schedule of SCH.

 

This prints in the Scheduled Meds section of the paper MAR and continues
to appear each day the patient is here.

________________________________________________________________________
___________

As it appears on the eMAR

Medication                               Dose/Rate  Sig/SCH       Route
C Last  Doc   Next Admin Sts

PNEUMOVAX 23 0.5 ML SDV      0.5 ML     DAY OF DI  IM/SC  L 11/20 1300
DCD

FLUZONE 0.5 ML SDV                0.5 ML     DAY OF DI  IM        L
11/20 1300                    DCD

________________________________________________________________________
___________

 

As it appears on the Print Order.

NFL5 - INFLUENZA VACCINE (FLUZONE) 0.5 ML SDV

 

DOSE:   0.5 ML  (1 SINGLE DOSE VIAL PER DOSE)

ROUTE:  IM

SIG:    DAY OF DISCHARGE  (SCH)

 

------------------------------------------------------------------------
---------------------------------------------------------------------

PNEUI - PNEUMOCOCCAL POLYVALENT 23 VAC 0.5 ML SDV

 

DOSE:   0.5 ML  (1 SINGLE DOSE VIAL PER DOSE)

DOSE INSTRUCTIONS: Give day of discharge if the

                   patient has a temp <100.5, unless

                   there is a physician order not to

                   administer vaccine.

ROUTE:  IM/SC

SIG:    DAY OF DISCHARGE  (SCH)

 

Donna Saavedra

________________________________

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Richard, Daniel
Sent: Monday, November 20, 2006 6:52 AM
To: Kathy H. Craig; DIANE; [email protected]
Subject: RE: [MEDITECH-L] MED NOTIFICATION BEFORE DISCHARGE

 

For the eMAR we have a similar drug called "Discharge Reminder" that we
schedule with a SIG of QDAY so that the nurse is reminded daily of this
need.

 

Dan Richard
Pharmacy
Augusta Medical Center
Fishersville, VA 

        -----Original Message-----
        From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kathy H. Craig
        Sent: Saturday, November 18, 2006 1:03 PM
        To: DIANE; [email protected]
        Subject: RE: [MEDITECH-L] MED NOTIFICATION BEFORE DISCHARGE

        We had this problem about giving at discharge and decided to
give our vaccines on the day they are written.  If the patient has a
fever or has to wait, nursing calls us and tells us to schedule the dose
for the next day.

         

        If you need a reminder, you might try this idea.  We use it when
patients are on daily Coumadin dosing.  Pharmacy has a medication called
"Coumadin Therapy" which we enter with a Sig of UD which contains no
times for administration, but does put it on the MAR.

         

        Hope this helps.

         

        Kathy Craig, R.Ph. 
        Licking Memorial Hospital 
        Phone: 740-348-4542 
        Email: [EMAIL PROTECTED] 

        -----Original Message-----
        From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of DIANE
        Sent: Tuesday, November 14, 2006 5:59 PM
        To: [email protected]
        Subject: [MEDITECH-L] MED NOTIFICATION BEFORE DISCHARGE

         

        Hi,

        Me again.

        Just wondering what others are doing to alert nursing of a med
to be administered at/before discharge.  Meds like the flu vaccine are
ordered usually upon admission by the physician as "give before
discharge".  If a patient has a fever and cannot receive it upon
admission (or when it prints on the MAR) and is in-house a week or so,
how does nursing remember to give the med?  We do not have NUR module.
Meds are ordered thru pharmacy and  dispensed out of pyxis (profile).

        Any thoughts or work arounds.

        Diane

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