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Just my 2 cents: Another item we have run across, for some reason during some of these fixes etc, the med profile "may" be restored to Meditech, HOWEVER, there is nothing then that flows to pyxis, Our staff will just do a limited edit on "each" rx-which avoids having to re-enter and this will send the rx to Pyxis. We still go through the whole profile to make sure nothing "dropped off" for some reason. tom Tom Silver Clinical Staff Pharmacist Howard Community Hospital Phone (765)-453-8524 fax (765)-864-6707 Main Pharmacy phone (765)-453-8433 Main Pharmacy fax (765)-453-8141 No trees were killed in the sending of this message. However; a large number of electrons were terribly inconvenienced. :^) "The opinions expressed in this e-mail message are those of the author and may not be representative of Howard Regional Health System or any of its affiliates. This e-mail message and attachments, if any, may contain confidential or privileged information. If you are not the addressee or authorized to received this message for the addressee, you must not use, copy, disclose, or take any action based on this message, any attachments to this message, or any information herein. If you have received this message in error, please advise the sender immediately by reply e-mail and delete this message in its entirety." >>> "DIANE" <[EMAIL PROTECTED]> 06/20/06 1:07 PM >>> All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Hi Terri, We have this problem too and I posted this question to Meditech and received the following response. Hope this answers some of your questions. Please post any responses to the "L" Thanks Diane Hi Amanda, We have a problem with admissions "fixing" or "accidently" discharging patients in ADM which causes all current pyxis profile orders to drop from the system. Pharmacy then has to re-enter all current orders. This can be annoying at times. I noticed in the PHA Parameters on page 2 a prompt for "# HRS DISPLAY DC ORDERS ACTIVE" and "# HRS UNDO FIX DC RX's".How are these used? Can we put a time in that would allow ADM to "fix" their mistake and not have orders drop from pyxis? Thanks Diane Product Release: 5.4Has The Problem Been Reported Before: No Donovan,Mark Patrick (MEDITECH) - May 31, 2006 - 1258 EDT: Diane, these parameters are not going to help you out with this. The # HRS DISPLAY DC ORDERS ACTIVE parameter is there to determine how far back the system looks for inactive orders when processing Returns from Pyxis. We look at all active orders and based on this parameter the number of hours inactive. This gives the nurse a window after a med was DC'd to return a med that will cause a Pharmacy credit. This doesn't have any bearing on the Pyxis Profile and how they display their information. The next parameter only relates to the UNDO'ing of a Discharge. When ADM performs an UNDO of an admission, this will standardly DC the Pharmacy orders. This causes them to drop of your Pyxis profile and we can not prevent this. If a patient is Discharged this to will DC the orders. However if in Admissions they UNDO the Discharge, this reverts the patient back to the ADM IN status and will FIX DC the orders that were DC'd on Discharge. The "# HRS UNDO FIX DCRX'S" parameter can then control how this works. If you set it to 2 hours and Admissions performs the Undo on the Discharge after 2 hours passed, then Pharmacy will not fix DC the orders. From your entry it looks like Pharmacy is Fix DC'ing orders after the patient is accidentally Discharged. This should be corrected by performing an UNDO Discharge in Admissions which then removes any Pharmacy involvement. So while these two parameters will not fix the Pyxis Profile, the process of how Admissions fixes the accident can make Pharmacy react as you are hoping. I hope this is all clear and makes sense. If it is not, please call me at781.774.2562 and we can walk through all these scenarios. Mark -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Vaughan, Terri M. Sent: Monday, June 19, 2006 2:12 PM To: '[email protected]' Subject: [MEDITECH-L] magic 5.4 pyxis/emar/pharmacy question All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Does anyone have information about what can be done to prevent the UNDO function from wiping out pyxis profiles, EMAR data and pharmacy profiles. The pharmacy currently has a parameter # HRS UNDO FIX DC RX'S set to 24 hours in the pharmacy toolbox parameters, but we still have had issues losing the data in our pyxis stations and the EMAR. Has anyone removed the UNDO function or written a rule to notify the pharmacy when the UNDO function has occurred? Any help would be appreciated. thank you Terri Vaughan AMC Mayo Health Systems Information Technology 507-434-1062 (Phone) 507-434-1470 (Pager # 11648 ) 507-434-1495 (Fax) _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
