This has only come up rarely for us, but we have entered them as one Rx, dose 
is half the prescribed dose (so that two syringes are needed to make the dose), 
then we enter a sig that matches what the nurse will actually do.  So, instead 
of a sig 'q24h' starting at 0900, we would use a sig format of 0900,0905 or 
0900,0930 depending on push/infusion time.  This will give the pharmacy two 
appropriate dispensing labels and the nurse two admin times.  You can debate 
whether or not you need a new charge type so that the final charge for two 
doses ends up similar to the charge of one dose syringe, depending on your 
current formulas.

Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401
 
(205) 750-5323
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-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of McNamara, 
Tara
Sent: Monday, April 30, 2007 9:42 AM
To: [email protected]
Subject: [MEDITECH-L] EMAR documenting multiple syringes

Hi All,

How do other hospitals using eMAR enter orders for infusions that are given as 
syringes, BUT requires the dose to be split into 2 syringes.
 1. If we enter the order as two orders, the nurse may forget to document on 
one of the orders OR think that the orders are duplicates and only give
     one syringe. 
2. If we enter it as one order so that the nurse can document on a single(total 
dose) order, the pharmacy labels won't be correct on the 2 syringes
    because the dose in each syringe is only half.  Also how would we handle 
the documentation of one nurse administered syringe #1, and to wait for
    some reason to give the second half of the dose...then a second nurse is 
assigned to administers syringe #2

 How do other hospitals document on a total dose order that is supplied in 
multiple syringes?

Tara McNamara, MT (ASCP)
Sr Systems Analyst
Cape Cod Health Care
Tel 508-862-5485
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