Hi Sharon-
I'm not sure the Linked Orders functionality works like that - the intention
is to have them appear "back-to-back".  What I have done is created a CDS
with a single "label" line and an attribute to display either "This is
morning dose" or "This is an evening dose".  My feeling is that this is a
training issue for Nursing.  I've heard many say that it's confusing, or
extra steps if a Narcan order always pops up after a PCA documentation...the
benefits far outweigh here.  Maybe because I'm used to it, but it makes more
sense to me having the linked orders...

Best of luck - Kevin.

 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
www.RPhInformatics.com
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
Witt, Sharon L.
Sent: Tuesday, December 26, 2006 2:42 PM
To: Thompson, Jeff; MEDITECH-L; [EMAIL PROTECTED]
Subject: [SPAM]RE: [MEDITECH-L] Morning Dose Different than Evening Dose

Jeff,

Are you up with the Emar? If so, doesn't linking them cause issues?  When we
were going up with the Emar, pharmacy was looking at linking orders together
so that when they dc'd one, they would get prompted to dc the other. For
example, Nitro patch and the Nitro patch off orders.  But that wouldn't work
on the Emar because nursing gets prompted to process Linked meds when scan
one of the meds. 

If someone has it working with the EMAR, I would like to hear how you did it
so nursing gets prompted for linked meds when they should and don't when
they shouldn't. Something on an individual med level?

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
Thompson, Jeff
Sent: Wednesday, December 20, 2006 8:25 AM
To: MEDITECH-L; [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] Morning Dose Different than Evening Dose

I REALLY think this should be 2 different orders.  We do so and then link
them so they are next to each other on the MAR. 


Jeff Thompson, R.Ph.
Pharmacy Informatics
Newman Regional Health
Emporia, KS 66801
Direct: 620-340-6150

-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
MEDITECH-L
Sent: Saturday, December 16, 2006 10:24 PM
To: [EMAIL PROTECTED]
Subject: [MEDITECH-L] Morning Dose Different than Evening Dose

---------------------------- Original Message ----------------------------
Subject: Morning Dose Different than Evening Dose
From:    "Lehl, Jim" 
Date:    Fri, December 15, 2006 10:29 am
To:      [email protected]
--------------------------------------------------------------------------

If a medication has a morning dose that is different than an evening dose,
do you need to enter this as two separate orders to make it clear on the
eMAR or is there some other functionality in Magic PHA that can help clarify
this to the nurse upon administration.  We've been 0-dosing these RX's with
clarifying dose instructions but we are experiencing med errors
when the nurse doesn't pay attention to the dose instructions on
the#A<4(4)]?5A!??´?    5X4(4)Q%4(4))(()5%Q
 0´??M?)Q???????)
??????

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