In previous versions of Meditech, the Link feature seemed to serve no purpose other than informational for the Pharmacists. It didn't do anything on the paper MAR, and it didn't do anything on the Dispensing Machine. So, in addition to meds ordered together, we used it to Link range orders, such as Dilaudid 1 mg for moderate pain + Dilaudid 2 mg for severe pain, and other combinations of the same drug, such as Seroquel 100 mg QAM + Seroquel 200 mg QHS. Our intention was (1) to assure anyone else looking at the profile that we intended there to be two similar orders and (2) to remind the Pharmacist that there were two similar orders when they got new orders, such as to DC or change the dose (otherwise, they might just stop at the first item as they scroll down).
However, in eMAR, the Link feature actually does something. If the Nurse uses the Full Document routine on a Link'd med, the system prompts them for the next Link'd med. Obviously, that is not what we intended with the Range orders or doses at different times. So, as Bill suggested, we now only use the Link feature for meds that are supposed to be given together, and discontinued together. Steven Dailey, RPh Pharmacist/Informatics Union Hospital Elkton, MD 21921 Note: This message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender. "Whitten Bill" <[EMAIL PROTECTED]> 06/28/2007 07:57 AM To <[EMAIL PROTECTED]>, "Sherlene Christen" <[EMAIL PROTECTED]> cc <[EMAIL PROTECTED]>, <[email protected]> Subject RE: [MEDITECH-L] Question for PHA If this is really a problem, perhaps you should look at why the orders are being linked in the first place. Generally you link orders that are supposed to be administered together, such as Demerol + Phenergan. When the prescriber orders one to be discontinued, it implies the other is to be discontinued as well. Hence the default response. Bill Whitten Pharmacist Lake City Medical Center Lake City, FL (386)719-9343 From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Wednesday, June 27, 2007 5:15 PM To: Sherlene Christen Cc: [EMAIL PROTECTED]; [email protected] Subject: Re: [MEDITECH-L] Question for PHA Even in Quick Batch, the confirmation message is "2 eligible Rx's selected. Discontinue?". Of course, the default response is Yes, so they can <Enter> through it without noticing that there are multiple linked Rxs. But to answer your question... No, we've never used a Rule for this situation. Steven Dailey, RPh Pharmacist/Informatics Union Hospital Elkton, MD 21921 Note: This message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender. Sherlene Christen <[EMAIL PROTECTED]> Sent by: [EMAIL PROTECTED] 06/27/2007 11:53 AM To <[email protected]> cc Subject [MEDITECH-L] Question for PHA We are Magic, 5.4SR sr2. Does anyone have a PHA rule that will flag during a Rx DC, when an Rx is "Linked" to warn the user that they are discontinuing a linked order? I know that you get somewhat of a pop-up when you are in mode individual. However, our pharmacists process orders function defaults to mode quick batch, and they like it that way. Thanks, Sherlene Christen Sr Analyst_IT Duke Health Raleigh Hospital Pharmacy Department 3400 Wake Forest Rd. Raleigh, NC 27609 Phone: 919-954-3573 Fax: 919-954-3124=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com To check the status of the meditech-l, visit MTUsers.NET For help, email [EMAIL PROTECTED] Please visit and add information to the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l_mtusers.com
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