The Pharmacy Board issues a permit to your facility's pharmacy (at least they
do in NC). It's up to your pharmacy staff (especially the director) to know
what's required by the state Board. It's a real jungle as the various
licensing boards (Medical, Nursing, Pharmacy, etc) exert their respective power
spins on things. Unfortunately, there is no one central body that referees
these folks. If JCAHO nor CMS nor Department of Health requires this extra
step but your Pharmacy board does, that's enough to make your facility want to
take the extra step. Otherwise you run the risk, however slight, of
jeopardizing your pharmacy permit and the ability to legally dispense meds.
C'mon, where's the love? You wouldn't expect your pharmacy to knowingly allow
something illegal to take place just for nursing convenience, would you?
Alan Miller, RPh
Pharmacist
Patient Care Information Systems
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
>>> "Sharon LaDuke" <[EMAIL PROTECTED]> 06/21/2007 09:29 >>>
Alan, I'm laughing. "Smack around" is a great way to put it.
Boards can dictate to individual licensees but not to facilities, right?
So let's say that neither JCAHO, nor CMS nor the Department of Health
require this extra eMAR security strategy that is being discussed. Does
a Pharmacy board really have the authority to institute such a specific
regulation ("you must have a second sign-on process for an eMAR"? If so,
how would Pharmacists across the state be notified of the mandate? Would
the requirement be written into administrative law, so that if you were
reading your Practice Act, you would see it there?
Or would a Pharmacist simply be expected to know whether a second
sign-on is the standard of practice, and ensure that, if it is, the
process occurs in his/her facility?
I've been curious for a long time about boards, their authority, and
professional misconduct cases, so this discussion has piqued my
interest. Sharon
-----Original Message-----
From: Alan Miller [mailto:[EMAIL PROTECTED]
Sent: Thursday, June 21, 2007 6:27 AM
To: Deborah L O'Briant; Kenny Whiteside; Sharon LaDuke; Kimberly Frick;
meditech-l@mtusers.com; Bill Mullins
Subject: Re: [MEDITECH-L] Access to eMAR
Pharmacy is ultimately responsible for everything related to medication
in your facility. If it concerns medications and the Board of Pharmacy
finds something they don't like, they have every right to smack your
pharmacy/pharmacists around to ensure compliance with state/federal
pharmacy regs, even if the pharmacy has little actual control over the
situation. In the eyes of the Board, it's usually a matter of "public
safety".
Alan Miller, RPh
Pharmacist
Patient Care Information Systems
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
>>> "Sharon LaDuke" <[EMAIL PROTECTED]> 06/20/2007 21:14 >>>
Can a state Pharmacy board dictate what is done by any discipline other
than pharmacists? I don't get it. Sharon
-----Original Message-----
From: Bill Mullins [mailto:[EMAIL PROTECTED]
Sent: Wednesday, June 20, 2007 6:10 PM
To: Kimberly Frick; Sharon LaDuke; Kenny Whiteside; Deborah L O'Briant;
meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Access to eMAR
We did not have this requirement in Tn, 5 yrs ago, I do not know about
it now...
-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Kimberly Frick
Sent: Monday, June 18, 2007 9:21 AM
To: Sharon LaDuke; Kenny Whiteside; Deborah L O'Briant;
meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Access to eMAR
I thought that an additional level of authentication was unnecessary
too, but our State Pharmacy Board requires it. This level of security
doesn't exist in the paper MAR world, so why is it so restrictive in the
electronic version?
Our State Board of Pharmacy requires us to enter our pin last, so we did
not have a choice for that either. The only advantage I can see of
entering it last is that you can access the e-mar to view the MAR, run
MAR reports or do anything else except document without entering your
pin. The "enter pin" prompt only comes up when you document something.
Kim Frick, RN
Project Coordinator
Licking Memorial Health Systems
Phone: 740-348-4114
Fax: 740-348-4769
[EMAIL PROTECTED]
www.LMHealth.org
-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] Behalf Of
Sharon LaDuke
Sent: Monday, June 18, 2007 7:36 AM
To: Kenny Whiteside; Deborah L O'Briant; meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Access to eMAR
I recently worked for a multi-facility organization which did not
require anything additional for eMAR access. No problems that I ever
heard of. Sharon
-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Kenny Whiteside
Sent: Friday, June 15, 2007 2:42 PM
To: Deborah L O'Briant; meditech-l@MTUsers.com
Subject: Re: [MEDITECH-L] Access to eMAR
Deborah,
We just had this discussion this afternoon also! If your nurses ALWAYS
log off when they walk away from their computers.... I would say that
the redundancy would be insane. But I also know that in the fast-paced,
pulled in every direction at once world of hospital nursing... that's
not likely to happen. For this reason, we chose to require the user's
password when entering the eMAR from the Status Board.
But who knows, maybe someday we will decide that this is not
necessary!
Have a good weekend,
Kenny Whiteside
>>> "O'Briant, Deborah L" <[EMAIL PROTECTED]> 06/11/2007 11:38
PM >>>
Hello All,
I am trying to gauge how the majority of sites live with the eMAR set
up their password/pin options in MIS. We are currently using the NUR
Status Board and the Project lead for nursing wants to take out any
additional requirement to authenticate the user signing on to the eMAR.
The thought is that the original request for a user mnemonic/password to
log onto Meditech is sufficient and asking for the password again if
accessing the eMAR, once in the Status Board, is redundant (we've set it
up so all inpatient nurses get the Status Board upon successful
sign-in).
Our State Board of Pharmacy does not currently have any specific
guidelines (yet) for us to follow.
Has anyone experienced problems (ie, diversion) with the eMar and what
security was in place at the time? I am trying to think of every
scenario where having no additional requirement to access the eMAR might
get us into trouble.
I greatly appreciate anyone taking a minute to answer this posting!
Thanks in advance!
Deborah O'Briant
Sr. Project Manager
IT Applications
Arkansas Children's Hospital
(501) 364-3643
[EMAIL PROTECTED]
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Catawba Valley Medical Center
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