We also use the 4 mg tablets. We have an Order Set with all of the admin times. By combining some of the repeated doses/times, I was able to trim it down to (only) 7 orders. We have the Start Time hard-coded to the first dose of the first day. That works fine if the prescriber orders the Dose Pak to start the next day. We have a Label Comment about "catching up" if the order is to start now, which is always after that first dose was due. Of course, that doesn't work seemlessly with eMAR. We are currently rolling out eMAR, and I am not aware that this issue has come up yet in practice. I suppose it would be possible to have the Pharmacist customize the first day's doses, but that would mean I'd have to re-build the Order Set, or create another Order Set, because some of those orders include the first, second, and third day in the same order. And for that scenario, don't even think about POM! I don't see any other option but to have the Nurse document the "missed" doses and the reason for the "extra" dose on that first day. After that, the doses and the times will be correct on the profile and the eMAR.
Steven Dailey, RPh Pharmacist/Informatics Union Hospital Elkton, MD 21921 Note: This message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender. "Melissa Wyant" <[EMAIL PROTECTED]> Sent by: meditech-l@mtusers.com 05/24/2007 11:46 AM To <Meditech-l@mtusers.com> cc Subject [MEDITECH-L] PHA Medrol Dose Pak Order Entry Does any site have an order set or another method to enter a Medrol Dose Pak order for an inpatient. Our pharmacy only stocks the 4 mg tablets and currently sends everything up using label comments for directions. We will be going Live with eMAR soon and the correct times need to appear for the nurses. Any suggestions? Thanks, Melissa Melissa Wyant, R.Ph. Pharmacy Application Analyst, IS Holyoke Medical Center Phone: 413-534-2842 CONFIDENTIALITY NOTICE: This email communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please reply to the sender immediately or by telephone at (413)534-2500 and destroy all copies of this communication and any attachments. For further information regarding Holyoke Medical Center's privacy policy, Please visit our Internet web site at http://www.holyokehealth.com <<<<GWAVAsig>>>> =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.NET. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] Visit the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list meditech-l@MTUsers.com http://mtusers.com/mailman/listinfo/meditech-l
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