Hi - Had to take out most of the defaults in our LARGE VOLUME IV order sets for this same reason. If you build a 1 liter IV order set with some additives and have a default rate in the order set of 125 ml/hr (which fills in with a default time of 8 hrs), when a user enters the order set, and changes the rate according to an order that says "run at 100 ml/hr), The total VOLUME of the IV gets changed to 800 mls. If the rate is 150 ml/hr, the TOTAL VOLUME gets changed to 1200 ml. I gave up trying to talk to Meditech about this. I think part of the problem may be that the programmers do not have a clear understanding of what happens in an IV room or how these items are dispensed. EXAMPLE: Piggybacks - one type of IV are usually order by the SIG and not by the rate, so the programming works okay on those. With LARGE volumes, You have to deal with standard bag sizes of 500 ml or 1000 ml and the put your additves in. This will increase the volume. You build an order set to accommodate standard Items like D5%.45NS 1liter with 40 MeQ of Kcl and 1 gm of Calcium gluconate. This gives you a slight volume increase to 1020 ml or something, but you still have this standard basic size bag and when you build the ORDER SET, for convenience you might default in a standard rate of 125 ml/hr which produces and 8 hrs time period. It used to be (before Meditech fixed the " bug"), you could pull up that order set, and if the order was for d5.45NS with 40 KCL and 1 gm CA and 10 cc of MVI at 100 ml/hr, you added the MVI to the order set and changed the rate to 100 ml/hr. Then the DURATION of the bag would change to 10 hrs. THE volume of the bag would reflect the extra 10 ml of MVI - not a big deal in terms of the rate. We would NOT change the VOLUME to 800 ml to match the 8 hr rate because the bags come as 1000 ml. I know there are several places that have expressed issues with this and I was under the impression that it would be fixed in 5.6. THE "fix" that was done in 5.4 or 5.5 was what actually caused this problem.
This e-mail message, including its attachments, is for the sole use of the intended recipient(s) and may contain confidential or privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. "Goldmacher, Brian" <[EMAIL PROTECTED]> Sent by: [email protected] 05/08/2007 01:46 AM To <[email protected]> cc Subject [MEDITECH-L] RE: Pharmacy 5.6 IV order types 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 =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.NET. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] Visit the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
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