You could use your Variance Limit to help define the correct action to take. Let's say you have a 1 hr variance limit on oral meds and the med is due at 1000. If the pharmacy receives the DC order at 1030, it would be appropriate to back-time the order dc to 0959, thus removing the outstanding dose and the need for nursing to document. However, once you are outside the variance limit, the dose was officially scheduled to be given and the nurse needs to document the reason why it wasn't. This seems to be a reasonable compromise and division of responsibility between nursing & pharmacy. It forces pharmacy to consider the real-time dynamics of the med administration process and gives nursing a greater incentive to get orders off the chart and to pharmacy in a timely manner. Bill Whitten Pharmacist Lake City Medical Center Lake City, FL (386)719-9343
________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, March 27, 2007 3:43 PM To: [email protected] Subject: [MEDITECH-L] dc'd order with emar/bmv What are other hospitals doing when an order is dc'd and there is an outstanding dose to be addressed on the emar. Currently we have the nurse go back and document not given and the reason code is Med DC'd. Anyone else coming up with any solutions so the nurse would not have to do this. Meditech says "working as designed, blah blah blah." Please post to list and thanks for any help/comments. Karen Hunter [EMAIL PROTECTED] ________________________________ AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com <http://pr.atwola.com/promoclk/1615326657x4311227241x4298082137/aol?redi r=http://www.aol.com> .
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