Hello Lr's, We have a scenario where one of the patient allergies is Morphine HCL. During order entry, the pharmacist enters an order of Morphine sulfate but she did not get flagged at all. The allergy was entered as a Generic. I checked the drug dictionary for MSO4, obviously the Ingredient is Morphine and on the Ingredient Allergy field, one of them is Morphine (F05). I called MEDITECH and asked them how come we did not get the alert. This was their response:
Pellerin,Tracie (MEDITECH) - Mar 22, 2007 - 2004 EDT: The generic associated as an allergy is not the one associated to the drug MORP0050 that was ordered. If you would like to capture all allergies associated with Morphine, the allergy should be entered as a class allergy rather than a generic. Our Director of Pharmacy does not fully agree with MEDITECH. She believes that the user should still have gotten the flag as Morphine (regardless of how the allergy was entered, generic vs class) is clearly the main Ingredient and is also defined in the Ingred Allergy. If Pharmacy goes by Class Allergy, it's good in a way that it checks everything but at the same time they would get unnecessary alerts which can de-sensitize the user of these flags. Most of our pharmacists select the generic allergy. I have emailed MEDITECH again about how our pharmacy feels but hasn't gotten any response yet. Has this happened to you? How did you resolve the situation? How do you enter the allergy, generic or class? We are Magic 5.4 and we have First Data Bank. Cristina C. Kimball, BSN, RN Manager, Clinical Informatics Pacific Alliance Medical Center 531 W. College St. Los Angeles, Ca 90012 Ph: (213) 437-4214 Fax: (213) 617-9203 Email: [EMAIL PROTECTED] This electronic message is intended only for the individual or entity to which it is addressed and may contain information that is confidential and protected by law. If you are not the intended recipient of this e-mail, you are cautioned that use of its contents in any way is prohibited and may be unlawful. If you have received this communication in error, please destroy it and notify the sender immediately by e-mail. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
