See answers appended to the survey questions below (Magic 5.5 .. going live with 5.61 in a few weeks.)
John Valuckas R.Ph. Pharmacy Informatics Coordinator Charlotte Hungerford Hospital Pharmacy 860-496-6694 Fax - 860-496-6447 [EMAIL PROTECTED] -----Original Message----- From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] On Behalf Of Kathryn Wohnoutka Sent: Wednesday, June 13, 2007 10:54 AM To: meditech-l@mtusers.com; [EMAIL PROTECTED] Subject: [MEDITECH-L] Medication Profiling in the ED During the 2007 MUSE conference, I recall there were several of you out there that are Profiling in the ED. If so could you answer a few questions? 1) Which medication dispensing unit are you using? Pyxis 2) Are you live with CPOE/POM in EDM? Yes .. close to 100% of orders entered by MD or PA. Nurses occasionally enter orders. 3) Are you using eMAR in EDM? Yes (Dispensing machine override orders are blocked from the eMar. Nurses must have an order to complete eMar documentation.) We originally allowed overrides to go to the eMar, but there was too much duplication .. Nurse took out med as an override, and MD entered order at roughly the same time. The result was that there were two orders for the same event on the eMar. Now we have some EDM orders with documentation of administration but no charge since the charge comes from the override. We monitor this via an NPR activity report. We are currently set to bill on dispense .. eMar is currently only live in the ED so Admin billing would be a problem because so many patients are admitted and there is no clear delineation of what orders are EDM and which are PHA. 4) Do your staff like, or dislike, Profiling in the ED? Staff like it extremely well. Also is a big improvement med safety. Nurses are directed to the item ordered, not an item pulled from the override list. 5) Have your staff experienced delays in med administration due to Profiling? Not usually. If there is an interface problem, then the override function is available as a back-up. Orders appear on the Profile in 30 to 45 seconds after filed in EDM. (Pyxis polling is set to 30 seconds). Also, there is some delay in the MED indicator light displaying so by time the MED light is visible, the order is usually on the profile. Nurses now hate to use the override so there is more incentive for MD's and PA's to use the system via order entry to control the medication process. In critical emergent situations, Meds are sometimes removed on override, and orders entered after the fact. eMar documentation occurs after the orders are entered. We also have a few lock boxes with emergent meds that are replaced via order entry and subsequent withdrawal from Pyxis and documentation on the eMar. Thank you in advance for your responses, Katie Wohnoutka Citizens Memorial Healthcare Bolivar, Mo. The information contained in this e-mail, including any attachments,is legally privileged and confidential. 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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 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. 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