Susan,
I am continuing to try to impress the same point to Meditech in regards to IV 
order types.  I have had the task open for almost a year, and Meditech is 
steadfast that their logic is appropriate.   I can't think of any reason to 
have the volume change. Here is how the rate and duration fields work.  The 
documentation in the order type dictionary is no longer correct.  If the 
pharmacist enters a rate, THAT field is considered "more important" than the 
duration or the volume because the pharmacist manually entered data into the 
rate field.  So after the volume is calculated, if the user changes the 
duration, the rate won't change because that is "important".  This also works 
the other way.  If the pharmacists manually enters 8 hrs as the duration, the 
duration field is more "important" and an edit to the rate will change the 
volume.  This becomes especially confusing during a copy and edit because the 
pharmacist entering the new order does not know which field was manually ente!
 red on the original order.  
I proposed to Meditech, at the very minimum, there should be an asterisk or 
something that indicates which field was manually entered.  Then the 
pharmacists could be trained to change only that field.  

Brian Goldmacher
Pharmacy Information Systems Coordinator
Doylestown Hospital
215-345-2200 X4323

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