Kevin, I added a barcode of the RX number to our med label and label.th formats. We'll PL and use these to "tag" each individual dose of NF's. This seems to be the least painful addition to our current NF practices and gives the nurses something to scan. This will help keep the Dictionary clean as well. Of course, this doesn't solve all the problems (SCH and PRN for the same med having different RX numbers, etc.)
Like all pharmacies I've been associated with, we do have a "NF policy" that looks good on paper but is not enforced. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> Kevin Knight <[EMAIL PROTECTED]> 07/03/2007 09:10 >>> You are correct Alan that this is a work-around, but your only other option is to add the NF item to your Formulary which in turns makes for an extremely busy (read as: dangerous) Drug dictionary. Of course there is the strict NF policy as noted earlier. Alan Miller <[EMAIL PROTECTED]> wrote: Yes, but then you're not scanning the med, you're scanning a workaround and the system is fooled. What happens if the baggie gets something else put into it by mistake? Each individual dose has to be barcoded or the system has holes in it. Alan >>> "Carole Weinstein" 06/25/2007 11:22 >>> Correct. For example, we would put the unit dose packaged doses for that patient in a baggie and put a barcoded label on the baggie. Carole >>> "Alan Miller" 6/25/2007 7:37 AM >>> I understand that part, but where is the barcode printed so it can be scanned at bedside? I assume the individual doses have to be tagged with the Rx number, so this packaging is good only for the particular patient. thanks, Alan >>> "Carole Weinstein" 06/22/2007 15:49 >>> Alan, I think she means she uses the Rx number meditech generates when the RPh enters the order... >>> "Alan Miller" 6/22/2007 3:07 PM >>> Interesting, but where does the prescription number that you scan come from? Is it part of the drug package? thanks, Alan >>> "Williams Marilyn" 06/22/2007 13:51 >>> At most of our facilities, we barcode it with the rx number from the non-formulary order. We usually do not add it to the formulary. Marilyn Williams, R.Ph. HCA IT&S -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Friday, June 22, 2007 11:47 AM To: CHERYL TOOMEY; [email protected] Subject: Re: [MEDITECH-L] pharmacy help needed Sorry, Cheryl, I feel your Pharmacy's pain. How else will you be able to scan the difference between one NFI and another unless they have distinct mnemonics and barcodes? Unfortunately, Pharmacy ends up having to bite the bullet and doing the extra work necessary for this to happen. All the more reason to have a stricter NF policy (pipe dream). Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> "TOOMEY, CHERYL" 06/22/2007 11:24 >>> We are live on 5.5 SR3,have 5.61 in test and are anxiously awaiting the eMAR desktop. Working on dictionaries in preparation. Current workflow: when patient is taking non formulary item, the pharmacy does not add this to the drug dictionary. They have a dictionary item called NFI. They zero the dose AND in dose instructions write the name of the drug, the dose (sometimes), pts own med (if applicable), and *pt specific* so the nurse knows where to go in the OmniCell.. I have had a consultant tell me that all non formulary items should be added to the dictionary for eMAR to display correctly. My pharmacy director is not in agreement. Can anyone with eMAR give me guidance on this? Thanks in advance. Cheryl Toomey MHA, RN BC Clinical Informatics Specialist Milford Regional Medical Center Milford, MA 01757 (508) 422-2449 office (508) 426-3298 pager [EMAIL PROTECTED] CONFIDENTIALITY NOTICE: The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. 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