We also have all orders entered by Pharmacists (or by Physicians via POM). When we went through our original Meditech PHA implementation in 1996, we investigated the possibility of using the Tech verification process, and, as Charlie says, we found it to be the equivalent of entering orders twice, so we never used it. We also use a lot of Order Sets, even for single items like PBs, but if you have a Tech enter an unverified Order Set, the process of having the Pharmacist verify it completely defeats the time-saving feature of the Order Set. In pre-Meditech times, when we were using DigiMedics, as I recall, we did have Techs enter orders, and the Pharmacist could "verify" all the orders at once with a single command. Of course that was before any online interaction screening, and I'm not suggesting that Meditech implement such a feature, but that's the transition we went through a decade ago.
Steven Dailey, RPh Pharmacist/Information Services Union Hospital Elkton, MD 21921 Note: This message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender. "Charlie Downs" <[EMAIL PROTECTED]> Sent by: meditech-l@mtusers.com 03/09/2007 02:55 PM To "Makara, Susan" <[EMAIL PROTECTED]>, <meditech-l@mtusers.com> cc Subject Re: [MEDITECH-L] PHARMACY VERIFICATION Susan - Another case of " working as designed". Meditech fails to acknowledge that it is a poor design. This is one of the reasons that pharmacists enter all of our orders; it is faster than the verification process and frees up a tech. Plus, we have a fairly high turnover rate with techs, and so it eliminates a lot of extra training. We only have to train the pharmacists, they pick it up much faster, and our pharmacists staff is much more stable. Charlie Charles Downs Pharm.D. Washington County Hospital Inpatient Pharmacy 251 E. Antietam Street Hagerstown, MD, 21740 301-790-8904 ----- Original Message ----- From: Makara, Susan To: meditech-l@mtusers.com Sent: Wednesday, March 07, 2007 1:09 PM 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" =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list meditech-l@MTUsers.com http://mtusers.com/mailman/listinfo/meditech-l ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list meditech-l@MTUsers.com http://mtusers.com/mailman/listinfo/meditech-l
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