Hi Michael- It is that reason, among others, that I believe few sites use the "Non-Formulary" section/dictionary. Instead, a mnemonic of NF and/or a Drug Type of NF can be used to identify and list these orders. It's not just an issue for PCM - the eMAR display and drug scanability are becoming an increasingly major issue as well. Even with the "Cardex Info" listed in the Label Comments it is difficult at first glance for nursing to identify individual NF drugs if more than one are listed. I am still waiting for Meditech to utilize the Rx ID field throughout the process. If you're not familiar with it, this is the field that can be manually changed during the order entry process - so you use the NF mnemonic, but then change the description to reflect the actual med used. We can drive that field to outputs we make - PHA labels, paper MAR's, clinical reports, etc. It's the eMAR, Print Order function, etc. that I just don't understand why MT hasn't made the changes. Best of luck - Kevin. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] <http://www.RPhInformatics.com> www.RPhInformatics.com <http://www.RPhInformatics.com> _____
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Gay, Michael C. Sent: Monday, January 29, 2007 8:01 AM To: [email protected] Subject: [SPAM] [MEDITECH-L] Clinical Review, Non Formulary, & quick NF method ISSUE We are working on PCM and have entered EMR ID's for all generic names in the drug dictionary. During testing we noticed that, when looking in Clinical Review, orders for drugs in the non-formulary drug dictionary do not appear in the Patient Summary. Our pharmacists currently enter non-formulary drugs by the quick NF method at the time of order entry. When the quick NF method is used the "GENERIC NAME" is created based on what the user enters when creating the NF entry. The "MNEMONIC" is system generated by Meditech. The mnemonic uses a "N0000..." sequence and is automatically inactivated. Therefore, if the pharmacy user enters the same NF unlimited times it will continue to generate the N00000 sequence of inactivated generic names. This is the only time that Meditech will allow the exact same generic name to be used in an active or inactive status. In other words , if the user had to use the quick NF method to enter FUROSEMIDE, and the next day I go to actually enter the drug in the drug dictionary or the non-formulary dictionary, if I have to create a new generic entry the system will NOT let me populate the generic name field with FUROSEMIDE until I change each current entry, active or inactive, by at least 1 keystroke. Also, the pharmaicsts can't match the non-form entry to an EMR ID because there isn't an EMR ID field to populate when using the Quick Method. Therefore, no EMR ID is attached to the non-form drug entry because the non-form drug is not attached to the ACTIVE generic name dictionary (which is where the EMR ID's exist). We would like to know how we can attach EMR ID's to non-formulary drugs without manually having to active all NF generics. We would prefer not to give the pharmacists access to the drug dictionary to enter non-formulary meds, create generic names, or match EMR ID's. Michael Gay, RN, BSN, MS Clinical Analyst Frederick Memorial Healthcare System (240) 566-3201
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