Karen.. We look at the PHA print order and see what doses have been documented as given and schedule the new order accordingly. If the timing is very close to the scheduled administration the nurse may not have documented yet. In that case we would call and inquire. Communication between PHA & NUR is critical. We are joined at the hip now and NUR has the responsibility to question scheduling. I would hope the a nurse would realize that: "gee I just gave a dose of this, do I really want to give another". This hopefully generates some sort of communication. -Mike
Michael S Grisanti, RPh Pharmacy Services St Mary's Hospital @ Amsterdam NY 518 841-3834 [EMAIL PROTECTED] _____ From: Parker Karen [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 09, 2007 9:50 AM To: [email protected] Subject: [MEDITECH-L] eMAR We are currently live with eMAR but have a problem when it comes to the entering of new orders. If a patient is on a med like Solumedrol 100mg TID and the physician writes a new order for Solumedrol 40mg TID, how does the pharmacist entering the order know that the patient already received the 10 am dose at 0945. They received the new order at 0950. When they enter the med, they enter it for 10 am and it looks like the dose needs to be given again, therefore an error could be made and the patient could potentially receive 140mg total at 10 am. We need a way for the pharmacist doing order entry to be able to know that the dose was previously given. Any ideas? Thanks, 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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