We have been doing this for 9 months, so far no problems, but we set this up to be extremely easy on pharmacy and radiology, so it may not be the best way. When a test is ordered by the doctor, nursing enters the test in through the nursing module. It prints out to radiology and to pharmacy. We have a designated printer next to the pharmacist. Pharmacy then enters the drug, we have three drugs, contrast oral, contrast iv, and contrast mri. We have attached the ingredients only, not generic. We have attached the drug interactions, Ex: glucophage and the allergies, Ex: iodine. Pharmacy then enters using an order type of RAD, using sets civ, cor, cmri. The sets of course, are built as one time entries, and using the order type or RAD, nursing does not see in their module, so no confusion. Any interactions or allergies pop up in the system, as the pharmacy enters the orders. The pharmacist notifies radiology, and documents who they have talked too, so the doctor can decided or what they need if there is a problem. Radiology goes into PCI, and views the order that pharmacy has put in. Basically if it is entered and they see it, they know to give the contrast. If it is not in PCI, they know there is a problem. So far, it has worked very well, if they don't see it they call, which is usually we did not get in fast enough, but is very rare, We have usually already talked to them, so no phone call. Radiology is not up on emar, so they can only view in PCI. Also we made a special category (drug type) in PCI drug history , called RAD so they can find the drug entry real fast. We have not developed any automatic stopping of drugs. Ex; glucophage for 48 hr. We have been talking about getting a policy for automatic stopping, that the pharmacist can write, but for now we called the radiologist and let them do it. One thing we have noticed, and the reason we have drugs called civ , cor , cmr ( contrast iv , etc), instead of actually entering all the different contrasts was, nursing enters the test numerous times, before getting it right, a lot of times. We would be entering numerous contrasts, not knowing which one is right, so we just lumped them with all interactions, and allergies and assume all tests have. Also the viewing in PCI helps, because we have no clue when the test will be done and since we enter as once, it drops off any module viewing in one minute and Radiology has no problem viewing at any time, "we don't get the phone call, the drug is not on the profile, ", ten hours later. Your other question, we order all contrast for radiology. They keep an on going log book for readi cat contrast only, when they come to pharmacy, they sign out 10 or 20 bottles, in their log. As they use it they sign out to each patient in their log. As they come to get more contrast from pharmacy, they leave their filled out sheets, which we keep. Not sure why, only the oral contrast, can't remember the reason behind that one, but I think it was because the radiology tech delivers to the patient on the floor. Sorry. Hope this gives you a few ideas. thanks, Becky Maxwell Rph
________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Arthur, Jerri Sent: Monday, January 22, 2007 2:11 PM To: [EMAIL PROTECTED]; [email protected] Subject: [MEDITECH-L] Imaging Contrast Oversight by Pharmacy I'm posting for our Pharmacy Director: Our pharmacy is working with the imaging department to meet the standards and intent JC has issued related to pharmacy oversight of contrast agents used in Medical imaging. We plan on pharmacy screening inpatients for use of imaging products in advance, and outpatients using pre-approved protocols. I am interested in learning how other small hospitals have done their procedures, and if Meditech can help communications. For instance, 1. are you entering all contrast agents in the Meditech PHA system like you would any other drug? 2. does your pharmacy also dispense these agents? 3. Did you create a new order type for the imaging drug dictionaries to use? We thought this might be helpful to track only contrast products. 4. Do you use any kind of Meditech automation to alert the pharmacy to an imaging procedure that needs a contrast agent screened? All help or opinions would be appreciated. Bill Arrington D.Ph. Dir. of Pharmacy Stillwater Medical Center Stillwater, Oklahoma 405-742-5687 [EMAIL PROTECTED] Thank You, Jerri Arthur, MS Applications Analyst Information Technology Stillwater Medical Center 1323 W 6th, Box 2408 Stillwater, OK 74074 405-742-5269 405-742-5971 fax 405-742-9266 pager [EMAIL PROTECTED] Meditech Client Server, 5.5.2 MUSE Western US Region Chair Elect Education/Scheduling Coordinator IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and destroy the transmitted information. Violators may be prosecuted. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. www.stillwater-medical.org
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