We're bringing e-MAR (Magic 5.5.2) to our PACUs and we discovered that you can not do much with Full Doc on dispensing machine (DM) overrides as you discussed below. However, with Scan Med (SM), you have more flexibility. One scenario is the nurse pulls a 10 mg morphine and gives a small dose at short intervals. With Full Doc, you can only document on a DM order once (working as designed). Edit Doc does not leave an appropriate audit trail in PCI, etc, so I don't recommend that. SM allows you to document multiple times on the same DM order.
For this reason we are leaning toward BMV in PACU over plain e-MAR. Also, I'm concerned about using the DM orders solely for PACU BMV because of interface downtime and delays. We're considering turning off the DM orders from PACU e-MAR and just using the Enter Med e-MAR feature for all dose documentation. We have been using this successfully for inpatient e-MAR DM override scenarios. Any thoughts/comments on this approach? Jeff Lee Assistant Director of Pharmacy, Support Services DCH Regional Medical Center 809 University Blvd E. Tuscaloosa, AL 35401 (205) 750-5323 [EMAIL PROTECTED] The information contained in this e-mail message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. _____________________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Dana Pfingstler Sent: Monday, April 02, 2007 2:42 PM To: Meditech L Subject: [MEDITECH-L] Pyxis pull meds and 5.6 emar Hi, For those of you who are live with BMV/EMAR 5.6 are you having an issue with the inability to change the dose on dispensing machine over ride meds? And if you are, how are you handling this? As it is now, if I pull Ativan 2 mg/ml from the pyxis as an over ride dose, but only want to give 1 mg I am unable to change the dose. I have asked Meditech about this, and am told it is working as designed. This, in my mind, raises a lot of issues and concerns. Many times we give partial doses of meds pulled from pyxis and we need to be able to change the dose accordingly. I was told by my Meditech specialists to poll other hospitals as to how they are handling this. Or, I could have the users file the incorrect information and then edit to change the dose, as it will allow me to do that. Dana Pontious, RN Nursing Analyst Elk Regional Health Center St Marys, PA 15857 814 788-8682 ------------------------------------------------------------------------ ------------ The information contained in this e-mail is private and confidential and is intended only for the person or entity to whom it is addressed. If you are not the intended recipient, please note that any review, dissemination, distribution, or copying of this e-mail is strictly prohibited. If you have received this communication in error, please notify the sender of the error and thereafter delete this e-mail. << File: ATT1614174.txt >> ** Confidential Information ** The Information contained in this email message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited.
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