Cheryl,
Pre EMAR we would enter a patients own med using the mnemonic POM (for 
Patient's own Med).  It was policy to enter details such as the name and 
strength in the dose instructions.  The pharmacists would then label the 
medications upon review, sign and date a sticker, and send them back to the 
floor.

In the EMAR workflow, we have 10 POM entries (POM1-POM10).  The first POM med 
is entered as POM1, the second POM2 and so on.  The pharmacists change the RX 
ID to the name, dose and dispense form of the patient's med.  They also enter 
data into the dose instructions field.  We pre-printed the identification 
labels with barcodes.  When they identify POM1, they use a POM1 sticker.  When 
they identify POM2 they use a POM2 sticker, each uniquely barcoded.  We also 
have a rule that alerts the pharmacists if they enter a duplicate, such as two 
POM1's on the same profile.  
This method looks really nice on the emar, it give the nurses the ability to 
scan the med, and they are not choosing from a list of meds after they scan.
Using RX numbers may be less steps, but we chose what was closest to our 
current routine.  There were some issues with RX number bar codes.  If a 
patient takes their own med as scheduled and PRN.  We have the flexibility to 
enter POM1 as scheduled and a second RX for POM1 as PRN.  If you use RX# 
labels, you will need two different labels on the same med.
Brian Goldmacher
Pharmacy Information Systems Coordinator
Doylestown Hospital
215-345-2200 X4323

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