Susan,

I'm going to respectfully disagree.  Speaking from Kansas regulations,
the technician could not make the "judgmental decision" of which order
is appropriate for the patient.  Granted identical orders are easy but
many times they are not the same orders.  It is the pharmacists that
should make these type of decisions so they should have all the
warnings.   If you are in a situation where the techs are allowed to
make these types of decisions, then I can see where a parameter setting
would be useful.

 

Jeff Thompson

Newman Regional Health

Emporia, KS  66801

 

-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Makara, Susan
Sent: Wednesday, March 07, 2007 12:09 PM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] PHARMACY VERIFICATION

 

Hi all: 

We have recently started using the verification process in pharmacy to
verify tech orders (previously they entered verified and we used a
printed report which was used to check the order entry).

Our largest facility in the health region just started the verify
process last week.   This extremely busy pharmacy uses pharmacy order
sets extensively.   We have numerous order sets where we have checked
off the "override interaction checking" box in the order set dictionary
because we are entering meds with various routes of administration so do
not need to receive the duplicate flags.

When the techs do the order entry, they do not receive these flags.
However, when the pharmacists verify the orders, the duplicates are all
flagged and it is causing a huge workload for the pharmacists to have to
override all these duplicate screens when they verify.

Meditech says "working as designed".    I am saying, if the flag is not
there on order entry by the techs, then it should not be there when the
pharmacists verify.   They should only see the flags that the technician
saw during the order entry process.

Has anyone else experienced this issue and how did you handle it?
Right now the pharmacists are telling the techs, if the orders are to be
entered using a multiple-med set, to simply give to the pharmacists and
they will enter as it is quicker/easier than receiving all the duplicate
flags. 

Any thoughts around this issue would be appreciated. 

 

Susan 

Susan Makara, B.Sc.(Pharm)
Coordinator Pharmacy Information Systems 
Interior Health   2355 Acland Rd., Kelowna, B.C.  V1X 7X9
* 250-491-6756     * [EMAIL PROTECTED]
Fax: 250-491-6710 

"Information for Live: Excellence in Service, Excellence in Information,
Excellence in Health" 

 

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