________________________________

From: Bill Mullins [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, January 31, 2007 5:04 PM
To: Arthur, Jerri
Subject: RE: [MEDITECH-L] Imaging Contrast Oversight by Pharmacy



Jerri:

 

More files for GLUCOPHAGE PROCESS

 

1.      GLUCOPHAGE REPORT 
2.      OE PROC CDS WITH ATTIBUTES TO CALL ABOVE REPORT 
3.      PHA CUSTOM KEYWORD AND RULE TO FLAG PHARMACIST OF CONTRAST EXAM 
4.      PHA PAT CUSTOM PATIENT VIEW REPORT WITH CONTRAST QUERIES. 

 

Good Luck,

________________________________

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Arthur, Jerri
Sent: Monday, January 22, 2007 1:11 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 



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Attachment: PHARXGLUCOPHAGE.npr
Description: PHARXGLUCOPHAGE.npr

MNEMONIC          DRAFT ACT  DESCRIPTION                      TYPE              
   ROWS USED  COLS USED  MARK REQ FLDS    FIRST FIELD  PAGE  SECTION     EDIT 
USERS       EDIT GROUPS

OECONTRAST              Y    GLUCOPHAGE WARNING W/CONTRAST    OE PROC           
   2          63         Y                1            1     1                  
                         
                                             PCI Data Source:          

                     <--------PROMPT-------->                                   
      <-RESPONSE->
                  FLD#  QUERY       ROW COL TEXT                                
      ROW  COL REQ        ATTRIBUTES/DOCUMENTATION

                  1     OEPHAGLUC   1   1   On Glucophage?:                     
      SAME 17             <ATTRIBUTES>                                          
                                      
                                                                                
                            IFE=IF{/["aa"]^/R.FRAG.ARG 1,                       
                                      
                                                                                
                            
IFE=%Z.rw.fragment("PHA.RX.zcus.bm.glucophage.frag.R","PHA.WTN"),               
          
                                                                                
                            
IFE=P(R,S,/R.FRAG.VAL[1]^/[ANS%0,"OEPHAGLUC"]|0)^#,"";""}                       
          
                  2     break       1   33  .                                   
      SAME 35             <ATTRIBUTES>                                          
                                      
                                                                                
                            IFE=IF{[ANS,"OEPHAGLUC"]|0="Y" 1,                   
                                      
                                                                                
                            IFE=%MIS.SCREEN.display.doc("OECONTRAST","break")}  
                                      
                                                                                
                          <DOCUMENTATION>                                       
                                      
                                                                                
                            *************** WARNING ********************        
                                      
                                                                                
                                                                                
                                      
                                                                                
                            THIS PATIENT IS ON A GLUCOPHAGE CONTAINING DRUG     
                                      
                                                                                
                            CONTRAST DYE IS CONTRAINDICATED WITH THIS DRUG      
                                      
                                                                                
                            PHARMACY NEEDS TO PLACE THE MEDICATION ON HOLD FOR 
48 HRS                                 
                                                                                
                            AFTER THE CONTRAST EXAM IS COMPLETED (SERVICE 
DATE/TIME OF EXAM)                          
                                                                                
                                                                                
                                      
                                                                                
                            *************** ALERT **********************        
                                      
                                                                                
                            A NURSE MUST CALL THE ORDERING DOCTOR AND DISCUSS 
THIS                                    
                                                                                
                            DRUG/EXAM CONFLICT AND SEE IF DOCTOR WANTS SOME 
OTHER DRUG                                
                                                                                
                            COVERAGE DURING THE 48HRS AFTER THE CONTRAST EXAM, 
WHILE THE                              
                                                                                
                            GLUCOPHAGE DRUG IS ON HOLD.                         
                                      
                                                                                
                            A REMINDER WILL PRINT TO YOUR PRINTER WHEN YOU FILE 
THIS ORDER!!                          
                  3     OEDYE       2   3   Contrast Dye:                       
      SAME 17             <ATTRIBUTES>                                          
                                      
                                                                                
                            DFT="Y"                                             
                                      
                  4     OEDYE2      2   20  Contrast Date:                      
      SAME 35             <ATTRIBUTES>                                          
                                      
                                                                                
                            [EMAIL PROTECTED]                                   
                             
                  5     OEDYE3      2   45  Contrast Time:                      
      SAME 60             <ATTRIBUTES>                                          
                                      
                                                                                
                            [EMAIL PROTECTED]                                   
                             



CONTRAST RULE ATTACHED TO GLUCPHAGE DRUGS IN PHA DRUG DICT,
RULE USES A CUSTOM KEYWORD TO CONVERT DATE TO EXTERNAL DATE:

Function    RX           Name  RX

Mnemonic    z.date.conv.to.ext         Assign to Group  Z
Active?     Y
Name        Convert int Date to ext Date (00/00/00)

Multiple Output Lines?   N             Special Flag   Value
Minimum Output Length
Maximum Output Length
Number of Arguments
Execute at Translation?  N

Edit Code?
    %Z.date.out(DATE)
-------------------------------------------------------------

CONTRAST RULE

Mnemonic         CONTRAST                 Last Edited by MIS.KG       Date  
01/02/2007-081
Active?          Y                                    Print On Order History
Description      CONTRAST QUERY                       Print From PCI          N
Data Flds from   RX                                   POM Enabled?            N
Eval Stock Meds                                       Evaluate at             
MED



  [q OEDYE]^CONT_.=.,
  [q OEDYE2]^DATE_.=.,
  [q OEDYE3]^TIME_.=.,
  [f z.date.conv.to.ext]^DATE1,
  ("Contrast exam ordered for",DATE1," AT ",TIME,"")^V,
  "MUST HOLD GLUCOPHAGE DRUGS FOR 48HRS AFTER EXAM"^X,
  IF{CONT="Y" [f rx msg](V)&[f rx msg](X);
  [f rx ok]};

Attachment: PHAPATVIEW55.npr
Description: PHAPATVIEW55.npr

=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=
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