Danielle,
Do your overridden meds post to the eMAR?  Ours do and the nurse uses that 
entry to chart the med.  Pharmacy doesn't need to verify anything.
Valerie
 
Valerie Truax, CPhT
Pharmacy Applications Specialist
Mount Nittany Medical Center
(814) 231-3190
[EMAIL PROTECTED]

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED]
Sent: Monday, April 09, 2007 1:14 PM
To: [EMAIL PROTECTED]
Subject: [MEDITECH-L] eMAR - Verified/Unverified Meds


We are firmly entrenched in eMAR maddness here and are trying to look at 
medication process/workflow.
Recently we had a custom moved in that would restrict all unverified meds from 
going to the eMAR to prevent nursing from administering medications that have 
not been reviewed by a pharmacist. We have however found a flaw in the plan. If 
the physician writes a stat order, the nurse gives the medication (because it 
is an emergent drug that they can overrid in the dispensing machine), but 
pharmacy refuses to verify the medication without making a change because they 
feel it is not appropriate. How can the nurse document exactly what they gave, 
when the medication will not be on the eMAR, or the dose on the eMAR may be 
different than the dose they gave. (We are also not allowin nursing to use the 
adjust dose functionality).
 
I know other sites have this custom and are using it, anyone out there have any 
ideas?
 
Thanks as always for your insite!
 
Danielle J. Peppard RN
Clinical Systems Consultant
for Berkshire Health System
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