As requested, here are the responses I received to my question on partial implementation of RXM for med reconcilation. Roger We don't have partial RXM, we have the whole module, but the documentation is the same. We have used this as our Medication Reconciliation for over 1.5 years. It was a difficult process to get started because you have no Data Base to start with so each patient needs to have the medications entered. It is easy to enter the medications with or without strings already built. When we went Live with this we had very few drug strings built, but the nurses did fine.
The hard part is deciding how to manage the list of medications. We did it the hard way. We loaded the drugs from our formulary service and then took the hard road to inactivating all of the unnecessary drugs. It has been recommended to load the formulary load and then have Meditech Inactive all of the drugs. At that point you would activate the drugs you want. We have built strings for the top 250 drugs. This task was given to the Pharmacist to do. I helped in the beginning providing them with a list of everything I did so they could check the strings. The Pharmacist now use the RXM list to reconcile medications ordered in house with the home meds. I think the best part of the RXM is the Allergies. When nurses enter the allergies they are coded allow for interaction checking even when a Pharmacist is not on duty. It is a good patient safety issue under better control. Let me know if you have any questions, Roberta Laurimore, RN Clinical Analyst Culpeper Regional Hospital 540-829-4359 As more of a bridge, we use Iatrics PDI. It has a direct link to PHA database. We have med recon/home meds as part of intake process using NUR. We also have a goodly number of physicians using PDI to confirm medications on discharge. Not a trivial project..From the above, you should have determined that 'take too long' isn't an exceptable excuse. Buy in (grudgingly) of medical staff is crucial. We also have RXM in the ambulatory setting. Another very non-trivial undertaking. Cliff Vaux, RN, MS Office 207.664.5367 Hey Roger- I have worked with a few sites (both Magic and CS) on the partial RXM implementation, and the Drug Dictionary in RXM is the big setup. Theoretically, Mrs. Smith can walk into your ED with a bag of meds on almost anything...including homeopathic meds. So most sites see the need for loading the entire FSV file - about 75,000 lines items. Once you inactive the Band-Aids, syringes, catheters, etc, you end up with about 35,000. Then the fun begins - you only need one Furosemide 40mg, not 16. Removing all of the "duplicates" and ensuring the one you leave is the one in your PHA Dictionary - and then there's order strings. I'd recommend looking at buying them from your FSV...all in all, probably about 200 man-hours of work. Then there's the reports...I think Herb B. and I are both going to show a few examples at the PHA Show-n-Tell this year at International MUSE. I think it's worth the time spent - Nusring likes it; Physicians like it; and Pharmacy likes it too. Be well - Kevin. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-TEXT Conway Medical Center Disclaimer The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you E2003-TEXT
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