Hi Bill-
As with any ".intent of the JC." I think there's a huge amount of
interpretation involved.  With that being said, my thought is that a
proactive solution - one that a P&P is set and followed - is best.  For
starters, get a list of the OE Procedures that utilize contrast media.  You
can then attach a very simple print rule in OE to "notify" the pharmacy of
usage (when a test is ordered).  With a little work, you can use a PHA rule
to pick out active orders, like Glucophage, etc.  My understanding of the
"intent" is to discontinue the use and ensure follow up labs in 48 hrs - in
and out patient.  Inpatient is a captive audience, but outpatient is a
little different.  An informational sheet can print and be given to the
patient for follow up instructions.
 
I'm not sure about dispensing the CM.I'd be interested to hear if any other
sites of there are currently managing that inventory.
 
Best of luck - Kevin.
 
 
 
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
 <http://www.RPhInformatics.com> www.RPhInformatics.com
 
 <http://www.RPhInformatics.com>  
  _____  

From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of
Arthur, Jerri
Sent: Monday, January 22, 2007 1:11 PM
To: [EMAIL PROTECTED]; [email protected]
Subject: [SPAM] [MEDITECH-L] Imaging Contrast Oversight by Pharmacy
 
I'm posting for our Pharmacy Director: 
  
Our pharmacy is working with the imaging department to meet the standards
and intent JC has issued related to pharmacy oversight of contrast agents
used in Medical imaging. We plan on pharmacy screening inpatients for use of
imaging products in advance, and outpatients using pre-approved protocols. I
am interested in learning how other small hospitals have done their
procedures, and if Meditech can help communications. For instance,
1. are you entering all contrast agents in the Meditech PHA system like you
would any other drug? 
2. does your pharmacy also dispense these agents? 
3. Did you create a new order type for the imaging drug dictionaries to use?
We thought this might be helpful to track only contrast products.
4. Do you use any kind of Meditech automation to alert the pharmacy to an
imaging procedure that needs a contrast agent screened? 
All help or opinions would be appreciated. 
Bill Arrington D.Ph. 
Dir. of Pharmacy 
Stillwater Medical Center 
Stillwater, Oklahoma 
405-742-5687 
[EMAIL PROTECTED] 
Thank You, 
Jerri Arthur, MS
Applications Analyst
Information Technology
Stillwater Medical Center
1323 W 6th, Box 2408
Stillwater, OK 74074
405-742-5269
405-742-5971 fax
405-742-9266 pager
[EMAIL PROTECTED] 
Meditech Client Server, 5.5.2 
MUSE Western US Region Chair Elect 
Education/Scheduling Coordinator 


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