How does JCAHO view overriding medication that is not on the patient profile? Having the nurse override different dosage sizes to make the patient specific dose, the one entered by the pharmacist, sounds like a matter of convenience for the organization. That would be my first question with this practice. We use a robot for centralized unit dose dispensing and cabinets for PRNs/narcotics. We still deal with this issue, but it occurs within the pharmacy during dispensing. BMV puts a lot of pressure on your pharmacy purchasing area to have enough BMV-ready products available, 24/7. I can see the problem Meditech has with BMV scanning and allowing some equivalency algorithm. It is not uncommon for patients to have multiple orders for medication with different doses. For example, have both Drug A 80 mg in the AM and 40 mg in the PM. It seems like setting up an equivalency would lead to a lot of extra 'select which order' screens when scanning the drugs. Jeff Lee Assistant Director of Pharmacy, Support Services DCH Regional Medical Center 809 University Blvd E. Tuscaloosa, AL 35401 (205) 750-5323 [EMAIL PROTECTED]
The information contained in this e-mail message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. ________________________________ 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: [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 ** Confidential Information ** The Information contained in this email message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited.
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