Re: [MEDITECH-L] 5.61 Update

I will try to succinctly explain. If you have already built your RXM dictionary. You will load 1 FSV tape for both RXM and PHA. You put the run number (probably 1) into the customer defined parameters RUN number field in RXM customer defined parameter. The suspense file ENTER/EDIT drugs #12 in P

Re: [MEDITECH-L] how do you recruit analysts?

I think I have to agree with Roger. I am in the same boat. I had to learn NPR report writing myself because we have so few resources where I work and no one wants to have me call them up to move something on a label "over two spaces". And then there are MAR changes and someone always wants a re

Re: [MEDITECH-L] how do you recruit analysts?

I have had both good support from IT people and bad support and good support from clinical background people who had "IT" experience and bad support. It all depends on the person. Since I am a pharmacist and I have worked in all areas of pharmacy - retail, inpatient, surgery, LTC, oncology, clini

Re: [MEDITECH-L] No Strength on some FDB Drugs!

Oops - I forgot about eMAR - yes that is a problem. Okay here are a couple of things you can do - they are ugly but they will work. The nurses see the strength field in eMAR and what you probably have is something like 15 gm - correct? or 15 gm/tube or 15 gm/15 gm - depending on how you had to bi

Re: [MEDITECH-L] MIX Request PHA - ISMP NOTICE LARGE DOSE AT TOP MIX

Okay - thanks - I have already had them "fix" the lookup. There was apparently a DTS for this. I have to go back and look. Then I will post it. Maybe the DTS was actually just setting it back to look the way it did in 5.5. Thank you for the hint on making our own mnemonics. Now, what about the su

Re: [MEDITECH-L] MIX Request PHA - ISMP NOTICE LARGE DOSE AT TOP MIX

They told me this too. But here is the problem. There is now no more suspense file. In the drug dictionary, you put in RTN\ and an NDC number to look up a drug. But if you want to pull the drug in your hand into your pharmacy dictionary, you get a list by NDC, generic ID and Meditech mnemonic -

Re: [MEDITECH-L] No Strength on some FDB Drugs!

That is the only way to do it. There are some combination drugs that will come over with no strength - such as Cozaar. Others might come over with only the part of the strength that varies - so if you have a drug with hydrochlorothiazide-atenolol and the HCTZ is always 25 mg but the atenolol part

Re: [MEDITECH-L] MIX Request PHA - ISMP NOTICE LARGE DOSE AT TOP MIX

I think that might be a good idea. I am testing 5.6 and had to have a DTS added because with the user set to "C" things were sorting very badly. Now they are sorting similarly to the way Charlie has described. One thing I thought that I had figured out is that they sort alphabetically by mnemonic

Re: [MEDITECH-L] PHA and POM for Ordering Topical Medications

That is how ours our built as well.(In the pharmacy dictionary, most users have found that they cannot put a strength of a % in the strength field and have their price calculations work out.) We did quite a bit of editing on the drugs we pulled into QUICKscripts and will redo the drugs we put int

Re: [MEDITECH-L] Buggy Meditech programming of DTS's

That is actually quite helpful. Sort of what we already know. I think the poor guys that are still there are spread so thin because besides pharmacy, there is now physician order entry, ambulatory care, oncology, BMV, eMAR etc. etc. which ALL involve pharmacy at different levels and require

Re: [MEDITECH-L] Buggy Meditech programming of DTS's

Hi Jim: I have to agree with you on that point. Meditech has spread its programmers too thin and they do not have enough knowledgeable people to do the work that needs to be done. It also takes a long time to learn what needs to be done and how to do it, so if you have someone who is good at som

RE: [MEDITECH-L] PHA MAGIC 5.6.1 PENDING orders functionality

Thank you! I do not feel like a fool now. It is very cumbersome. I have reported this to our Meditech analyst for what it is worth. If I can get a few people from different facilities to agree to add their 2 cents worth I will even enter the enhancement request. It would be very useful, but in it

[MEDITECH-L] PHA MAGIC 5.6.1 PENDING orders functionality

Has anyone who does not have eMAR or POM yet been able to make use of the PENDING function. I just started testing 5.6.1 and I am a little confused as this seems like it would be a very useful function, but it seems very cumbersome. Has anyone found a way to "turn off" the "enter order as PENDI

Re: [MEDITECH-L] RE: Pharmacy 5.6 IV order types

Hi - Had to take out most of the defaults in our LARGE VOLUME IV order sets for this same reason. If you build a 1 liter IV order set with some additives and have a default rate in the order set of 125 ml/hr (which fills in with a default time of 8 hrs), when a user enters the order set, and ch

RE: [SPAM] [MEDITECH-L] C/S 5.5.2 PHA Unverified Orders

Wow - I always "assumed" that unverified orders did not appear on dispensing machine profiles until they were verified. Now I want to check those profiles as well. We never had unverified orders being entered until recently and we have some night techs entering unverified orders. Now I am really

[MEDITECH-L] Question about dose range information on Pharmacy Print Order Screen

Hi all: I have something that seem really odd to me and it appears to be "working as programmed" but I am wondering if anyone has found a way around it. Apparently, there was an upgrade at one point - in 5.5 I assume - that causes dose calculations to appear on the print order screen whenever ht

RE: [MEDITECH-L] Fw: Allergens

Okay - I hope that this will help - although we have Medispan - not FDB. Also, we are not using the new allergy update yet as we are just getting it in TEST. I think that in these cases, the user is doing a look-up by brand or Trade name. It appears that only drugs which are combinations of drug

[MEDITECH-L] Questions about eMAR, BMV and drug administration times

I have a couple of questions regarding administration times and the eMAR and BMV. WE are not using these yet, but we will be and I am trying to get an idea of how a couple of things can be managed. Right now, our printed MARS do not print out the standard or expected administration time. The nur

RE: [MEDITECH-L] Medication Discharge Summary Report

The Medication Discharge Report that is under Reports in 5.5 look more like a MAR, meant for a patient to be transistioned into a SNF. I am not sure if it is different in 5.6, but when I asked Meditech to provide me with a zcus. of the report so that I could try to edit it, the .ZCUS report was c

Re: [MEDITECH-L] Allergy Alert

I am guessing you are using the PHA allergies and ado not yet have the MIS allergies in use (we don't have 5.6 yet so I don't have that either). The way I have "taught" the pharmacists to enter allergies is to choose the generic and then "check off" appropriate classes and ingredients. If they en

Re: [MEDITECH-L] Negative Medication Orders: Where to build them in PHA

We built them into the label comments as well, except if the drug is dispensed only as outpatient or discharge, where we built them into RX Comments. But we have two separate entries for drugs - one for inpatient and one for outpatient. For RXM we built into the comments area for all the "MAY cau

Re: [MEDITECH-L] PHARMACY VERIFICATION

I think I know why the pharmacists are getting all the flags. It is because the order "set" has been "entered" by the technician. So now there are individual unverified orders for the Pharmacist to verify, so they are no longer together in the "set" for the override prompt to be able to control t

RE: [MEDITECH-L] Meditech and tall-man lettering

I did that also, but it's sort of a pain when you get to drugs like HYDROXizine and HYDralazine, and HYDROxychloroquine because users tend to only want to put in three or 4 letters and hit lookup. I was only able to utilize this method on a few drugs and then there are the look alike/sound alike

Re: [MEDITECH-L] Pharmacy start times and BMV CS5.5

Let me ask a couple questions since I do not have an eMAR to look at, plus we are using MAGIC, not CS.Does the eMAR pull the dosing times associated with the sig from the MIS DIRECTIONS dictionary. If it does and it is on the next screen, then I have a better idea of what is going on. Currently,

Re: [MEDITECH-L] MRI allergy alert to pharmacy

I can sort of see your reasoning if you want to enter the allergies into the patient's profile because they would flow over to a dispensing machine profile and maybe prevent someone from pulling a first dose of morphine on over-ride on a patient that is morphine allergic. In reality, it is all we

RE: [MEDITECH-L] Pharmacy Order Entry

We do have a night contract service that has technicians entering unverified orders and pharmacists checking them. However, I have had problems with the VER function several times now - esp in the VER/ED/CAN multi-function where pharmacists would get blow out to goodbye. I had to turn off some ra

RE: [SPAM] [MEDITECH-L] PHA: Designing Drug Database

I have found that this method works okay: On page 7 of the drug dictionary is a prompt that says "restricted". This is the prompt to use if you enter a non-formulary drug into your drug database. There are quite a few bits of confusion about terminology and the most misunderstood words are "FORMU

RE: [MEDITECH-L] POM PRN Reasons

HI - I have a question about the PRN reasons for pharmacy and I suppose it will trickle over to MAR, eMAR, etc. Right now I have a nice PRN reason dictionary built. However, we are currently not using it. We are putting the reasons into the label comments. This is why: In order to select a prn r

[MEDITECH-L] NPR report writer help pulling responses from group response to different queries/keeps repeating lines

I have a report writer problem that has me really befuddled. I have about a dozen queries (not multiple queries) They are all single response queries. The answers to the queries can be free text or can be an answer from a group response. I have all that on the report, nice and neat. The problem

Re: [MEDITECH-L] NPR - Pharmacy CURES REPORT

Hi - We had the same problem with our Schedule 3 meds last year. I don't know how our IS department resolved the report that actually goes to CURES, but I can tell you what I do. I have a simplified report that jus shows the fields that pharmacy can edit if they need to be edited, MD, refills, d

Re: [MEDITECH-L] CS 5.5 EMAR HELP

Hi - I am sorry I am going to be a little fuzzy about this, but someone at the Western Regional MUSE conference presented a show and tell that helped with getting IV's to appear on the eMAR. I am hoping that someone who was there will remember and maybe that will help you out with the IV's as we

[MEDITECH-L] Omnilink anyone? Help?

Hi - my facility just got Omnilink and I am looking for some ideas about how to improve the processing of orders. Right now orders can be sent to a "STAT" folder or just the regular queue. The problem is the orders in the queue are chronologically ordered and have no names associated with them u

RE: [MEDITECH-L] Medi-Span Problem

Hi all - THIS IS REALLY BIZARRE. Our nurses in the ED enter allergies by ingredient allergies. Since Medispan codes all ampicillins, dicloxacillins, amoxicillins etc by penicillin, this was problematic, as the nurse would not enter penicillin. I made them the ingredients ampicillin and amoxicilli

Re: [MEDITECH-L] Magic 5.5 SR1: BMV NDC number question

Here is a partial answer to your question: NDC numbers are usually assigned in 10 digit form by the FDA. in a variety of patterns: 4-4-2 or 5-3-2 (the number of numbers in the pattern of the NDC number) 0049-3190-28 or 50458-325-28 there are a couple other patterns but never the less Meditech

Re: [MEDITECH-L] Medi-Span Problem

Hi - I have had this happen before with generics and with Monographs of the wrong drug being attached. I have a feeling that it may have something to do with the way the information loads from the Medispan tapes into Meditech and darn if I just didn't find one that really irritates me. I am looki

Re: [MEDITECH-L] RXM/AOM

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == I have a very large power point file that maps everything out pretty completely. The only thing it does not have in it is a problem

Re: [MEDITECH-L] Magic 5.5 NPR Help Needed

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi I have a similar question. I have a similar report in PHA.RX with the index of pha.rx.active.index. The select fields are: patie

[MEDITECH-L] Help with NPR report and or CDS

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == I know this is probably not that hard but I just can't get this right. I have a simple little report that totals the number of ACTI

[MEDITECH-L] Second RXM rule problem

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == This is my second RXM rule question. This one is really driving me nuts. I have written a rule in RXM (see below) Mnemonic E

[MEDITECH-L] Help needed with RXM rules/CDS

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi - I have a couple of tough questions concerning RXM rules. The first question concerns pulling a Query from a rule for an MD to

Re: [Meditech-L] NPR Help PHA.DRUG

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi - that field will always come up blank unless you have edited it. I think if you use "generic.id" you will have better luck. (I

RE: [MEDITECH-L] Pharmacy Ordering Process

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Okay - because I just found it while cleaning my desk otherwise it would be in a box somewhere - they said they were changing my ca

[MEDITECH-L] PHA rule/ CDS help -

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == I have been asked for something that I don't believe can be done within PHA - but just in case someone knows how to do it --- I wa

RE: [MEDITECH-L] Pharmacy mnemonics

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Pharmacy mnemonics: Only problem is that is you happen to have more than one of something in you system: i.e. Furosemide 20 mg unit

Re: [MEDITECH-L] Pharmacy Ordering Process

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == We also had a problem with our contract night pharmacist not being able to use the "edit" part of the Verify,Edit, Cancel function.

Re: [MEDITECH-L] Pharmacy - Interaction and allergy checking for non-drug dictionary items.

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == This is unfortunate but I don't see where this is ever going to get to the point that it is cleared up. The "list" that is supplie

Re: [MEDITECH-L] Looking For A PHA Rule

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi Charlie: I think your keyword is calling a macro. I wanted to see if I could modify it to use Medical Record number rather than

RE: [MEDITECH-L] debit a dc'd med

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == I haven't looked at this rule, but it may be possible to add a line at the end of the rule that says - Do you still want to DEBIT?

RE: [MEDITECH-L] C/S versus Magic on the L

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == This would sort of be nice - not just from the programming standpoint but from the module standpoint as well. The PHA module in Mag

Re: [MEDITECH-L] Medispan Formulary information needed

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == That sounds good except I don't know when Meditech will get to working with Medispan. I think they are still working on FDB. I'm no

Re: [MEDITECH-L] (PHA) Question for those who utilize Meditech for processing Outpatient Prescriptions:

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi Marc: We are one of the few Meditech facilities that I know of that uses Meditech for outpatient dispensing on a large scale. WE

Re: [MEDITECH-L] FW: NDC #'s for BMV

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi - I have a rather similar plan. We have Medispan and I do have a CD containing most of the Medispan drugs (about 100,000 I think

[MEDITECH-L] Medispan Formulary information needed

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Hi - this is a tough request but I thought I'd try it anyway. Ten years ago when we got Meditech, we created a lot of our own gen

Re: [MEDITECH-L] Questions & Answers

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Sometimes I will post answers to the list and sometimes to the specific person. Some of the questions are so specific that I figur

Re: [MEDITECH-L] Dose Checking for Chemo Drugs

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == We do the same thing. All of the Medispan dose range checking is basically turned off. I built dose checking for most of the chemo

Re: [MEDITECH-L] PHA : Crediting future outpatient doses

All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Charlie is right. Crediting causes a mess in the print order history. There is one catch. If you are filling the initial fill of t