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Hi! We are C/S 5.5 SR2. We went LIVE with EDM back
in April and brought up the POM component in July. Only a day into our go
LIVE with POM, we quickly decided to put a halt to the medication ordering
through POM. We were having too many problems. Since then, we’ve
done many controlled parallel runs and have identified the problems. All
problems stem from this one issue. Currently, we have all drugs in PHA
set to be orderable through POM. The problem is that not all of these
drugs are stocked in Omnicell as they are ordered. So, we’ve had
lots of problems with because of the way the medication is ordered, the order
not being sent to Omnicell. In most cases the medication is, however,
stocked in Omnicell. So, then the nurse ends up doing an override to dispense
the medication from Omnicell which creates a separate order. Then we end
up with duplicate orders on the MAR. For example, in the ER, our Omnicell
has Dilaudid 2mg vials. If the physician orders Dilaudid 4mg, the system
would not send the order to the Omnicell Cabinet because it would think the med
wasn’t stocked in the cabinet since we do actually have 4mg vial.
So, rather than it knowing to use the 2mg vial and just dispense 2 vials, it
considers the drug to be dispensed from the MAIN inventory from Pharmacy.
I’m just wondering if there’s something we can do differently in
the way the drugs are defined in PHA to help with this problem. Any
suggestions? Have any of you experienced this problem? Right now,
we’re in the process of building a Favorite list for each physician of
the medications that are stocked in their ER cabinet to hopefully resolve this
problem. This is very time consuming though because the only way to set
this up is to emulate each physician and mimic medication ordering. There’s
also no copy feature for Favorites in POM. So, this would have to be done
for each physician. We’re only working in the ED right now.
So, we’re certainly hoping we don’t have to go this route when we
bring up POM hospital wide. We’d really appreciate in feedback
anyone might have. Gloria J. Reid MIS Assistant
Director Phone (919)938-7758 Pager (919)871-7045 DISCLAIMER: The contents of this e-mail message may be privileged and/or confidential. If you are not the intended recipient, any review, dissemination, copying,distribution or other use of the contents of this message or any attachment by you is strictly prohibited. If you receive this communication in error, please notify us immediately by return e-mail or by telephone (919-934-8171), and please delete this message and all attachments from your system. Thank you. READER BEWARE: Unencrypted, unauthenticated Internet e-mail is inherently insecure. Internet messages may be corrupted or incomplete, or may incorrectly identify the sender. Please contact me if you wish to arrange for more secure communication or to authenticate this message. Compliance Officer Johnston Memorial Hospital (919) 938-7121 |
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