Not quite accurate.  Our Pyxis 3000 handles the DA (deactivated) and RA
(reactivated) correctly.  The drug shows on the patient profile at the
station but shows on on hold and unavailable to take out.

 

Jeff Thompson

Newman Regional

Emporia, KS

 

-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of [EMAIL PROTECTED]
Sent: Wednesday, November 29, 2006 9:06 AM
To: Alan Miller
Cc: meditech-l@MTUsers.com
Subject: Re: [MEDITECH-L] Hold orders

 


In general, we treat all HOLD orders as a DC. The only exception would
be if the prescriber wrote to hold one specific dose, for example,
before a particular test. We have been using this policy for several
years, and the benefit of preventing unwanted doses far outweigh the
inconvenience of having to write re-start orders. 

Some things to consider: In Meditech Pharmacy, the terminology is DA
(deactivated). However, the order is still "active" in the Pyxis system,
so it will still show up on the patient's Pyxis profile. In Meditech
PCI, the "DA" status shows up in the last column on the patient's
Current Medication list, but I wouldn't count on all clinicians looking
for that or even recognizing what it means if they saw it. 

Steven Dailey, RPh
Pharmacist/Information Services
Union Hospital
Elkton, MD  21921

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meditech-l@MTUsers.com wrote on 11/26/2006 08:23:02 PM:

> That's what we do, too.  In the pharmacy, we don't have access to the
> nuances that are involved with "holding" medications.  Hold for just
> this dose?  Hold forever?  Hold until the lab results come back?
Since
> "Hold" is such an ambiguous term, it is prudent to equate it to "D/C"
> until you get clarification via a "continue" etc. order.
> 
> Alan Miller, RPh
> Catawba Valley Medical Center
> 
> >>> "Parker Karen" <[EMAIL PROTECTED]> 11/22/2006 12:14 >>>
> To those of you who are using Pharmacy order entry:
> If a Physician writes for an order to be on hold, how does pharmacy
> enter that into the computer?  Currently our pharmacy discontinues
> that
> order and the Physician has to rewrite the order when they want it to
> restart.  
> 
> Karen Parker RN, BSN
> Clinical Informatics Specialist
> Meadville Medical Center
> 751 Liberty St
> Meadville, Pa 16335
> 814-333-5606
> [EMAIL PROTECTED] 
> 
> 
> 
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