Oops - I forgot about eMAR - yes that is a problem.
Okay here are a couple of things you can do - they are ugly but they will work.
The nurses see the strength field in eMAR and what you probably have is
something like 15 gm - correct? or 15 gm/tube or 15 gm/15 gm - depending on how
you
had to bill and charge for the drug.
If you have just built it as 15 gm, you will have to build it as 15 gm/15 gm as
below. Once you do this (with the / in the strength) you can hit the space
bar a couple of times and put the (1% cr) in text after the strength.
Your drug id will update to this:
HYDROCORTISONE 15 GM/TUBE (1% CR) GM which you will then edit to:
HYDROCORTISONE 1% CR 15 GM TUBE
Mnemonic HCCR115 Active Y
Trade Name HYDROCORTISONE 1% CREAM 15GM
Brand Name
Generic Equiv HC CREAM
Print # 299440
Generic HYDROC13 HYDROCORTISONE
Strength 15 GM/TUBE (1% CR)
Admin Form GM.E GM
Dispense Form GM GM
Order Size 1 (GM )
Dispense Size 1 (GM )
Drug ID HYDROCORTISONE 15 GM/TUBE GM
Bulk Form TUBE TUBE
Bulk Size 15 (GMS PER TUBE)
Since I cannot view the eMAR I cannot tell you if the nurse wil be able to view
the tail end of the "strength". If she cannot then perhaps you can find an
approved abbreviation for hydrocortisone - HYcortisone 15gm/tube (1% cr) so
that they can see the whole generic name and strength. You do not need the
parenthesis - I just put them there.
The other way is way more complicated and involves creating new generics and
linking them to the FSV generics. Since I have been undoing years of previous
work we did by doing this very thing, I would not recommend it except to
perhaps the worst of Klingons.
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"Kanuho, Daryl - CRH" <[EMAIL PROTECTED]>
07/06/2007 07:45 AM
To
"'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>
cc
Subject
RE:
[MEDITECH-L] No Strength on some FDB Drugs!
The problem that our facility is having is that we are on eMAR. We have made
the changes to the trade name and the drug ID and this works fine for us in
the Pharmacy department, but the RN's will still only see the Generic
Name_Strength_Dispense Form. We do not use the trade name for eMAR since most
of our
medications are in generic form. Once we update with First Data Bank we run
into many problems. Any other replies would be greatly appreciated.
Thank you
Daryl Kanuho
Chandler Regional Hospital
Chandler, Az
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, July 05, 2007 5:18 PM
To: Thompson, Jeff
Cc: Gary Hall; [EMAIL PROTECTED]; [email protected]
Subject: Re: [MEDITECH-L] No Strength on some FDB Drugs!
That is the only way to do it. There are some combination drugs that will come
over with no strength - such as Cozaar. Others might come over with only
the part of the strength that varies - so if you have a drug with
hydrochlorothiazide-atenolol and the HCTZ is always 25 mg but the atenolol part
is 25, 50,
100 mg
the three strengths might come across as 25-, 50- and 100 -, Tylenol and
codeine #3 might come across as 30 mg. You will never get 30mg/325mg
and your 1/2 tablets will never neatly say 15 mg/167.5 mg. I've complained
about this for years but its never been fixed.
In the RXM you can put two strengths for two ingredients such as that because
the dispense entity of "tab" is a separate field - but you still cannot get
1/2
tab to say 15 mg/167.5 mg.
You will have to edit these drugs incorporate the strength or a common term
(such as #3) into the Trade name and into the Drug ID.
Also, your ointments, cream, etc. will always come across with a % in the
strength field - depending on how your billing is set up, you may have to change
all of these to bill by the gram or by the 15 gm tube or whatever - Someone
will have to check this out - we don't have B\AR - we have anther billing system
and we were doing a lot of Medical outpatient dispensing and most of our drugs
like that had to be set up by the gram because that was the way they were
paid.
The strength was then incorporated into the trade name and into the drug ID.
What you should avoid editing is the generic mnemonic and if possible - the
generic name.
I hope that helps - even though it is probably not the simplest solution. Cindy
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"Thompson, Jeff" <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED]
To
"Gary
Hall" <[EMAIL PROTECTED]>, <[email protected]>
07/05/2007 02:01 PM
cc
Subject
Re:
[MEDITECH-L] No Strength on some FDB Drugs!
We are MAGIC 5.6 PP4 with FirstDataBank. If I understand your question
correctly, you might be talking about Hyzaar 100/25 which FDB would strength as
each
for dose checking, etc. In these situations I edit the drug ID and that shows
everywhere that I have found. It seems to work well for us. It is a 1 time
fix since we turned off overwrite in the FSV update process. A lot of sites
would/have edit(ed) the generic to include the strength but I'm always afraid
to customize such an important thing from the FSV.
HTH.
Jeff Thompson, RPH
Newman Regional Health
Emporia, Kansas 66801
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gary Hall
Sent: Thursday, July 05, 2007 9:39 AM
To: [email protected]
Subject: [MEDITECH-L] No Strength on some FDB Drugs!
Hello, L: How are you PHA/FDB users dealing with the following problem:
Meditech builds their drug ID field from the generic name, strength, and
dispense form fields. But there are many drugs coming from FDB that do NOT
consistently have the strength field on them. Or, the strength field is
imbedded in the trade name field, rather than being in the strength field. This
leads to a problem, since the drug lookup at order time does not have
sufficient info for the person ordering to distinguish which is the correct
drug per
the doctor's order.
We could investigate these by NDC number and eventually repair, but our
pharmacy director is very uncomfortable with editing the drug ID fields, and
would
prefer that be done from the formulary source.
What are you all doing about this? Do you just bite the bullet, do the research
by NDC, and correct the drug ID fields manually with the strength?? My
pharmacist says his license is on the line, he doesn't want to do this manually!
Does this problem also occur with MediSpan?
Thanks!
Gary Hall
Clinical Applications Analyst
Estes Park Medical Center
Information Systems Department
970-577-4443
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