HI - I have a question about the PRN reasons for pharmacy and I suppose it will
trickle over to MAR, eMAR, etc. Right now I have a nice PRN
reason dictionary built. However, we are currently not using it. We are putting
the reasons into the label comments. This is why:
In order to select a prn reason from the prn reason dictionary, you have to put
the schedule as PRN.
If you put the schedule as PRN, the order winds up on the PRN section of the
MAR. Okay - so far so good. But not all orders with reasons are PRN.
You may have an order for Ibuprofen 600 mg q4H for arthritis pain. Since this
not a prn RX, it is a Scheduled RX, you have to enter the schedule as SCH
to get it to go to the right section on the printed MAR. I sort of thought I
remembered somewhere reading that there might be a regulation coming in the
future
that would require "medical necessity (i.e. a reason) for meds. So I would like
to be able to get to the PRN reason dictionary even if the order is not PRN
(at least when doing pharmacy orders). Does anyone else think this would be a
good idea?
(My other idea a while back was to somehow be able to link ICD-9 codes to
reasons but I realized that that would be kind of a bottomless pit)
We are currently on Magic 5.5.
Thanks Cindy
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"Pierson, Jeff" <[EMAIL PROTECTED]>, <[email protected]>
02/26/2007 08:27 PM
cc
Subject
RE:
[MEDITECH-L] POM PRN Reasons
Jeff,
The 5.6 EMAR is a complete rewrite and it may well show the PRN reason
more prominently. Like I said before, we do require the PRN reason and
we have not had any problem with nursing missing the reason. We do
print the PRN reason on the med label.
I would be concerned that the doc will not enter the reason as a
comment.
Tim Brady
Director of Information Systems
Mt. Washington Pediatric Hospital
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Pierson, Jeff
Sent: Thursday, February 08, 2007 1:36 PM
To: [email protected]
Subject: FW: [MEDITECH-L] POM PRN Reasons
I planned to use PRN reasons with eMAR and even built the dictionary,
but now am hesitating. We are Magic 5.5 and when the nurses scroll
through the meds on the eMAR, the PRN reason seems very difficult to
spot. The label comments (where we have traditionally entered prn
reasons) do display quite prominently though so I guess we will stick
with this practice. Am I missing something - I would love to hear the
experiences of others regarding what works best for the nurses. We will
be soon be seeing 5.6 and I hope this will make the decision easier.
Jeff Pierson, RPh
Manager - Pharmacy Operations
SwedishAmerican Health System
Rockford, IL 61104
815-489-4584
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Nelson, Mary - IL
Sent: Thursday, February 01, 2007 1:08 PM
To: Tara Mcnamara; Meditech L
Subject: RE: [MEDITECH-L] POM PRN Reasons
Tara,
We do not require our physicians to put in PRN reasons. As a matter of
fact, we never even built the PRN reason dictionary.
Mary Nelson, RN, BSN
Senior Applications Analyst
Information Services
Marianjoy Rehab Hospital
Phone: 630.909.7804
Pager: 630.680.0046
[EMAIL PROTECTED]
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf
Of Tara Mcnamara
Sent: Wednesday, January 24, 2007 12:41 PM
To: Meditech L
Subject: [MEDITECH-L] POM PRN Reasons
Hi All,
I am being told that a PRN reason is required for all PRN meds.
1. If you are live with POM, are you making your physicians put in PRN
reasons?
2. Can you share your PRN reason dictionary with me?
Thanks
Tara McNamara MT (ASCP)
Meditech Analyst
Rehabilitation Hospital of the Cape and Islands
Ph: 508-833-4025
Fx: 508-833-4056
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