We are doing the same. A CDS-type Admin Criteria contains the PCA Dose, Bolus Dose and other parameters. In the true Rx dose field, we enter the full syringe size (or bag size for epidurals). When the nurse scans the med, they are attaching the full syringe, so that makes sense to us and looks fine for documentation. The actual patient doses are recorded on the CDS. This also works for IV order type type orders.
For patient dose changes, we Full Doc a non-scheduled dose as given 'N'. The CDS pulls up and the nurse records the pump setting changes. It does cause the problems where it could appear that a dose was not given, but so far that has not caused us any problems. This example is typically PRN use anyway. We use the same strategy for other items that are continuous use where we need to document rate changes. This is how we handle all our IV Rate changes. We couldn't find anything standard from Meditech that would work well. They really left us hanging on this part of the process. We also see a lot of this in our NICU where syringes are attached to pumps/buretrols for intermittent use and we want documentation to show when drug was infusing and when not (e.g. UAC/UVC flushes, lipids, cyclic TNA, insulin infusions). Again, we attached CDS's that allow the nurse to Full Doc a non-scheduled rate change and indicate that the rate was changed to '0' when the drug was not infusing and again Full Doc when the drug starts infusing again. Jeff Lee Assistant Director of Pharmacy, Support Services DCH Regional Medical Center 809 University Blvd E. Tuscaloosa, AL 35401 (205) 750-5323 [EMAIL PROTECTED] The information contained in this e-mail message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. _____________________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Dana Pfingstler Sent: Thursday, December 21, 2006 2:31 PM To: Meditech L Subject: [MEDITECH-L] PCA docmentation on eMAR For those sites who are live with eMAR and BMV: How are you handling PCA documentation? When you document a new PCA syringe, what do you put in the dose field of the eMAR? Our syringes are 30mg/30ml, but the dose may be 1mg q10 min, etc. When you are hanging a new syringe, what are using as your dose, the entire syringe, or the q10 minute dose. Also, at our facility we are required to write on the MAR how much was used for each shift. I created a CDS where this can be documented, and attached it to the PCA meds, but what I don't know is how can the nurses document on this CDS without documenting another syringe given? If the PCA is documented as not given with the documentation done on the CDS then the dose is blue on the eMAR and red in PCI, which could be mistaken for a missed dose. Thanks for your help and MERRY CHRISTMAS Dana Pontious, RN Nursing Analyst Elk Regional Health Center St Marys, PA 15857 814 788-8682 ------------------------------------------------------------------------ ------------ The information contained in this e-mail is private and confidential and is intended only for the person or entity to whom it is addressed. If you are not the intended recipient, please note that any review, dissemination, distribution, or copying of this e-mail is strictly prohibited. If you have received this communication in error, please notify the sender of the error and thereafter delete this e-mail. << File: ATT303201.txt >> ** Confidential Information ** The Information contained in this email message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited.
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