Hi Carol, We had set-up equivalency tables within the Pyxis Formulary Set-up that essentially link dose forms together. So if we say had 800 and 400 mg Ibuprofen in the same machine and the 800 mg was unavailable, the machine would tell the user to remove 2 x 400 mg tabs from the profiled 800 mg dose. This is standard Pyxis Formulary functionality.
We had to abandon the use of the equivalency tables because the profiled RX was linked to the 800 mg dose. When the nurse removed 2x400 mg, then the Meditech RX debited 2 items which was the 800 mg tablet in the original Meditech RX. So the patient was charged incorrectly and the Meditech profile looked like the patient received 1600 mg. This of course doesn't address problems with bar codes that would not match. I think that you bring up a valid concern but I'm not aware of any way to implement the needed functionality at this time. I too would be interested to know if others have resolved this issue short of only profiling product size specific orders. John Valuckas R.Ph. Pharmacy Informatics Coordinator Charlotte Hungerford Hospital Pharmacy 860-496-6694 Fax - 860-496-6447 [EMAIL PROTECTED] ________________________________ From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of Carole Weinstein Sent: Wednesday, March 28, 2007 2:09 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 CONFIDENTIALITY NOTICE Information contained in this transmission, together with any other documents or attachments, is privileged and confidential, and is intended only for the use of the individual or entity to which it is addressed. This transmission may contain information or materials protected by the applicable laws of the State of Connecticut, and /or protected health information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This information is intended exclusively for the use of the individual or entity named as addressee(s). The authorized recipient of this information is STRICTLY PROHIBITED from disclosing this information after its stated need has been fulfilled. Misuse or distribution of the information contained in this transmission is punishable by civil and/or criminal penalties under state or federal law. If you are not the intended recipient, you are hereby notified that any disclosure, dissemination, saving, printing, copying, or action taken in reliance on the contents of these documents of this message, or any attachment, is strictly prohibited. Please notify the original sender (only) immediately by telephone or by reply e-mail and delete this message, along with any attachments from your computer immediately.
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