I am working with our nursing staff now, the feedback I am getting is they do 
not want the strength.  If the patient doesn't know the strength they were 
taking, nursing is hesitant to pick one of the entries.

I have created an "Unidentified" allergen for them to place these 
"questionable" entries in.  Then the Pharmacist codes them appropriately.


Carol
Carolyn Muhlbauer
Assist. Director Applications, Development and Support
Doylestown Hospital
595 W. State St.
Doylestown, PA 18901
215-345-2408


-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] Behalf Of
Charlie Downs
Sent: Thursday, April 05, 2007 7:44 AM
To: Thompson, Jeff; MEDITECH-L@MTUsers.com
Subject: Re: [MEDITECH-L] Fw: Allergens


Jeff- I checked with Melinda and somehow it was left off of the tape. 
However, if we are talking strengths, why don't they list the different 
strengths for things like Lanoxin, Zestril, Lipitor, etc. I don't see where 
Darvocet-N is any different from these. I've never had a patient give a 
strength when giving me an allergy, so if they don't give a strength, then 
it is up to us to arbitrarily pick a strength, which may be incorrect. If 
they were being consistent, then they would display strengths for 
everything.
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
----- Original Message ----- 
From: "Thompson, Jeff" <[EMAIL PROTECTED]>
To: "Charlie Downs" <[EMAIL PROTECTED]>; <MEDITECH-L@MTUSERS.COM>
Sent: Monday, April 02, 2007 9:37 AM
Subject: RE: [MEDITECH-L] Fw: Allergens


Hi, Charlie.  Respectfully, I'm going to disagree.  I think the lookup
is the Brand name of the drug. This makes it easier for non-pharmacy
users to be more exact. I've noticed that if the strength is included in
the Brand name it seems to be there.  I do realize that not having DCN
100 doesn't fit this so it should be added to be consistent.


Jeff Thompson, R.Ph.
Pharmacy Informatics
Newman Regional Health
Emporia, KS 66801
Direct: 620-340-6150

-----Original Message-----
From: meditech-l@MTUSERS.COM [mailto:[EMAIL PROTECTED] On Behalf
Of Charlie Downs
Sent: Wednesday, March 28, 2007 10:34 AM
To: MEDITECH-L@MTUSERS.COM
Subject: [MEDITECH-L] Fw: Allergens



Below is a message that I sent to Melinda Carson at FDB regarding the
way the allergens pick list from FDB looks. I wanted to know if people
agree with what I am asking them to do?
Thanks,
Charlie

> Melinda - Last night I was staffing and noticed that when I entered an

> allergy for Darvocet, I got the following choices:
> Darvocet-N 50                       Multiple
> Darvon                              Multiple
> Darvon Compound 32                  Multiple
> Darvon Compound-65                  Multiple
> Darvon-N                            Multiple
>
> Darvocet-N 100 wasn't even listed, so shouldn't it be? The other
> option is to just not put a strength and just have Darvocet-N. The
> same for Darvon Compound - why not get rid of the strength. I've never

> seen a strength listed for a med when it is listed as an allergy.
>
> Also, Vicodin and Lortabs are listed kind of the same way
> 1  Vicodin                             Multiple
> 2  Vicodin ES                          Multiple
>
> 1  Lortab                              Multiple
> 2  Lortab 10/500                       Multiple
> 3  Lortab 7.5                          Multiple
> 4  Lortab Elixir                       Multiple
>
> Something like Zocor isn't listed separately for each strength, so
> neither should any drug - it makes no sense. Granted if we are looking

> at excipient allergies, it may be an issue, but like I said, I've
> never seen a strength written on an allergy in my entire life.
> Thanks,
> Charlie
>
> Charles Downs Pharm.D.
> Washington County Hospital
> Inpatient Pharmacy
> 251 E. Antietam Street
> Hagerstown, MD, 21740
> 301-790-8904


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