S.O.S.
Meditech Magic version 5.5sr3 We recently went LIVE with EDM and are having some issues with using this product in conjunction with our dispensing cabinet (Omnicell) and the eMAR. Is anyone else attempting to utilize these products together in their ER? If so, any insight to solutions/work-arounds on the below issues we are having would be greatly appreciated. 1. We have changed Omnicell in ER to be profile dispense, but are having significant lag times between order entry and appearance on the cabinet. Any suggestions or solutions? 2. Due to the aforementioned lag time, we are still seeing a lot of manual overrides from the cabinet. The cabinet creates an order on the manual dispense so the RN can document on this order on the eMAR and we can set in the CDP so this order is sent to the sign cue of the physician. The problem we are having is that we are getting multiple orders because the physician goes in in the meantime and enters the order or the RN just wasn't patient enough to wait for the order to flow to the cabinet-creating double work for the physician and creating a mess on the clinical review medication screen with duplicate orders, not to mention that the only way you can get rid of the MED indicator on the ER tracker is for the RN to document on one of the orders as given and document given=N on the duplicate order. It is easy to see why the ER nurses are not too happy with me! 3. Take home (depart) medications: since we do not have a 24 hour pharmacy in our community, our ER has small supplies of prefill medications ready to send home. These orders do not flow to the dispensing cabinet either, so no matter what we do with these it will create duplicate order when manually overridden by the MD/RN. The other module recently brought up is the RXM module in the ER. Our nurses are having big issues/concerns that they are not going to pick the right drug from the list and this is unsafer than the previous process of paper charting, or that many times the patient just doesn't know in the ER setting what their dose is, etc. What have others found with using RXM. Who updates the list? Issues? Training or set-up tips? 1. Since we are utilizing RXM in our clinics for prescription writing and will be using the medication reconciliation piece in POM shortly, I don't feel I can inactivate a lot of RXM entries to make the look-up less daunting for the RN staff. Deanna Frosch,RPh Sauk Prairie Memorial Hospital
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