Hi Carole- As we move to non-profiled cabinets with eMAR/BMV, this becomes a larger issue. Typically, the order hasn't been entered via PHA or POM in the ED before the dose is vended from the cabinet.hence a non-profiled dose. If the order was entered, and you are using the Meditech/Pyxis interface or the Iatric/Pyxis interface with the "inventory functionality" in place, the user would note which strength was available in that cabinet and fill it accordingly. There is a hierarchy within the Dispensing machine/Inventory/PHA Location dictionaries that will list the available inventories during order entry (PHA, not POM), or the user might have to do an <F9> lookup at that field depending on the "Stock Med? Y/N" settings in the Drug Dictionary for that particular med. Other than that, the only thing that I can think of is having the vend cross to the eMAR for documentation - then the med that is taken out is the one getting scanned.but to me that defeats the whole purpose to Patient Safety and way we are all shuffling to implement these two applications at such high rates. 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: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of Carole Weinstein Sent: Wednesday, March 28, 2007 1:09 PM To: meditech-l@MTUsers.com Subject: [SPAM] [MEDITECH-L] PHA - BMV and equivalency dispensing/administering Hi all, As we are expanding our BMV units to the ED and housewide, we are dealing with an issue that Meditech says hasn't really been an issue for others, and were wondering if you have encountered the following and how you deal with it. An med order will typically be for the largest size tablet which matches the dose size, let's say 80 mg of drug X BID. We stock drug X in 80mg, 40mg, and 20mg sizes. The pyxis machine that the user is withdrawing the med from (or the main PHA sending the med), might not stock the 80mg tablet in that location, or might be out of the 80mg tablet, etc. and the nurse might need to pull 2 40mg tabs to make up the ordered dose. Meditech says that the answer is to re-profile the order in whatever sizes are stocked by the particular area, but as you can imagine, that would be a never-ending task in a 450 bed hospital. We are looking for some type of equivalency setting so that we can tell the system that 80mg of drug X = 2*40mg tabs = 4*20mg tabs, and if the barcodes on any of these are scanned, it should understand that it is still med X, but that a different # of tablets would need to be scanned. Any thoughts? TIA, Carole Weinstein IS Analyst, The Valley Hospital
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