I have a couple of questions regarding administration times and the eMAR and BMV. WE are not using these yet, but we will be and I am trying to get an idea of how a couple of things can be managed. Right now, our printed MARS do not print out the standard or expected administration time. The nurse writes in the time the drug was administered. We have standard administration times for IV antibiotics, etc and we have specific times for DAILY, BID, TID doses etc and these times determine what comes out on the refill list. Right now, nursing times and Pharmacy times match. If I understand correctly, with the eMAR and possibly with BMV, the time administered will be captured and if the med is not given within a specific window of allowable discrepancy time - then it would be noted as a nursing med error or a Pharmacy, or MAR discrepancy, depending on why the med was given at a different time. I would like to know how other sites have handled drug interactions and spacing meds out. For example, ciprofloxacin is given q12 hrs or BID. THis is generally 1000 and 2200. If a patient is on and antacid or a calcium containing supplement, then these must be given 2 hrs before or 6 hours after the ciprofloxacin . If the pharmacist enters a qd dose of a calcium containing vitamin, our standard administration time for a daily dose is 10 AM. The nurse cannot administer the ciprofloxacin and the calcium together. I am thinking of defaulting the dosing times of all vitamins, calcium, containing products, etc. to daily at 0800, which would help solve this problem. But I am not sure what we are to do if a patient must have ciprofloxacin every 12 hrs and antacid q6h prn and a calcium supplement. The antacid would have to be administered only at 0800, 1600,2000,and 0400 ( which works for a q6h SCH) . I am just wondering how everyone else has gone about adjusting their administration times to reduce discrepancies and keep drug interactions in consideration. I suspect there is also a similar problem with patients who have multiple iv antibiotics to be given on the same schedule. Something will always be late. I would like to hear ideas form some other users. Thanks Cindy
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