We are using the hold (DA/RA) routines and they have been working for us
so far.  One advantage this allows us is that meds on hold (e.g. during
surgery, just indefinitely on hold) are still AC in Meditech and when we
print various custom reports for physicians, med reconciliation reports,
etc, these continue to display so that clinical staff don't forget that
these orders are out there and need to be reconsidered at some point.
The only kicker to this is you need to edit all your NPR reports so that
there is an indication that these are 'on hold'.  We use the status flag
for this purpose.  
 
We think this is safer for patient care rather than discontinuing held
orders (as we did before BMV) where physicians may 'forget' about orders
that have been on hold and assume they are getting therapy they are not.
 
Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401
 
(205) 750-5323
[EMAIL PROTECTED]

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________________________________

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Crepeau, Denise
Sent: Monday, November 27, 2006 5:11 PM
To: 'Charlie Downs'; Parker Karen; [email protected]
Subject: RE: [MEDITECH-L] Hold orders
 
We are currently having this very discussion at our hospital. Is anyone
using the hold function?
Thanks,
Denise Crepeau, 
intelliDOT Coordinator, 
Parkview Medical Center, 
400 West 16th Street, 
Pueblo, Colorado 
intelliDOT Hotline # 3687
office (719) 584-4291 
        -----Original Message-----
        From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Charlie Downs
        Sent: Friday, November 24, 2006 7:13 PM
        To: Parker Karen; [email protected]
        Subject: Re: [MEDITECH-L] Hold orders
        Hold = Discontinue unless for a specified period of time such as
hold AM dose, hold for 2 days, etc in which case the deactivate function
is used. The physician can write an order to resume or just re-write the
order if they want to re-start.
        Charlie
        Charles Downs Pharm.D.
        Washington County Hospital
        Inpatient Pharmacy
        251 E. Antietam Street
        Hagerstown, MD, 21740
        301-790-8904
                ----- Original Message ----- 
                From: Parker Karen <mailto:[EMAIL PROTECTED]>  
                To: [email protected] 
                Sent: Wednesday, November 22, 2006 12:14 PM
                Subject: [MEDITECH-L] Hold orders
                 
                To those of you who are using Pharmacy order entry: 
                If a Physician writes for an order to be on hold, how
does pharmacy enter that into the computer?  Currently our pharmacy
discontinues that order and the Physician has to rewrite the order when
they want it to restart.  
                Karen Parker RN, BSN 
                Clinical Informatics Specialist 
                Meadville Medical Center 
                751 Liberty St 
                Meadville, Pa 16335 
                814-333-5606 
                [EMAIL PROTECTED] 
                
________________________________

                
                
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