I think I know why the pharmacists are getting all the flags. It is because the
order "set" has been "entered" by the technician. So now there are
individual
unverified orders for the Pharmacist to verify, so they are no longer together
in the "set" for the override prompt to be able to control them.
I have yet another issue with verification. Our night contract pharmacists use
techs to enter orders and then the verify the orders.
If they use the VER function they get no green print label pop up screen, so we
don't get labels for meds that have to be made in the morning.
However, if they use the VEC function, then enter a V, they get the green print
screen. I have had this task ongoing for several months now.
I also had an issue with rules flagging at inappropriate times during
verification (IE rules that should flag only on schedule 2 meds were flagging
all the
time)
There is a DTS for this. I will have to find it if you need it. Cindy
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Sent by: meditech-l@MTUsers.com
To
"Makara, Susan" <[EMAIL PROTECTED]>, <meditech-l@MTUsers.com>
03/13/2007 10:03 PM
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"
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