Re: [MEDITECH-L] BMV - 5.6 MAGIC. Is the barcode active

2007-05-31 Thread Alan Miller
you don't. HTH. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> "Roger Beverly" <[EMAIL PROTECTED]> 05/30/2007 14:54 >>> For those of you live with BMV, is the a w

Re: [MEDITECH-L] Access to eMAR

2007-06-21 Thread Alan Miller
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

Re: [MEDITECH-L] Access to eMAR

2007-06-21 Thread Alan Miller
therwise 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?

Re: [MEDITECH-L] pharmacy help needed

2007-06-22 Thread Alan Miller
l the more reason to have a stricter NF policy (pipe dream). Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> "TOOMEY, CHERYL" <[EMAIL PROTECTED]> 06/22/2007 11:24 >>> We ar

Re: [MEDITECH-L] pharmacy help needed

2007-06-22 Thread Alan Miller
ormulary order. We usually do not add it to the formulary. Marilyn Williams, R.Ph. HCA IT&S -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Friday, June 22, 2007 11:47 AM To: CHERYL TOOMEY; meditech-l@mtusers.com Subject: Re: [M

Re: [MEDITECH-L] pharmacy help needed

2007-06-25 Thread Alan Miller
" <[EMAIL PROTECTED]> 06/25/2007 11:22 >>> Correct. For example, we would put the unit dose packaged doses for that patient in a baggie and put a barcoded label on the baggie. Carole >>> "Alan Miller" <[EMAIL PROTECTED]> 6/25/2007 7:37 AM >>> I

Re: [MEDITECH-L] Pyxis vs eMAR

2007-07-02 Thread Alan Miller
Bob, We treat add-vantages like they are single entities - they have their own mnemonic. NDC matches the drug portion for interaction/allergy purposes but pricing is protected from automatic FSV updates. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center

Re: [MEDITECH-L] pharmacy help needed

2007-07-03 Thread Alan Miller
the Dictionary clean as well. Of course, this doesn't solve all the problems (SCH and PRN for the same med having different RX numbers, etc.) Like all pharmacies I've been associated with, we do have a "NF policy" that looks good on paper but is not enforced. Alan Miller,

Re: [MEDITECH-L] Pha report

2007-07-09 Thread Alan Miller
“The definition of insanity is doing the same thing over and over again and expecting different results”. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> "Method, Sheila" <[EMAIL

Re: [MEDITECH-L] patient home meds

2007-07-19 Thread Alan Miller
responsible for this type of junk. If the MD is really interested in saving the patient money, maybe he/she should discount his/her fees. This would more than cover the savings that using home meds might bring. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Med

Re: [MEDITECH-L] Creating pdf file from an NPR report

2007-07-23 Thread Alan Miller
Sarah, the way I do it is to "Preview" the report then "print" it to a PDF converter utility. I use PDF995, there are many others as well. If you need one, you're just a google and download away. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba

Re: [MEDITECH-L] 5.61 Update

2007-07-23 Thread Alan Miller
ot;. Eventually we'll beat it into submission, we always seem to be able to, in spite of the poor tools we have to work with. Thanks for opening the door a little and giving me the chance to vent. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Cen

Re: [MEDITECH-L] NDC Billing question

2007-08-02 Thread Alan Miller
tic task using the tools that Meditech provides. Maybe eventually what is scanned using BMV will allow us to easily differentiate what particular brand is used, but for now, no way. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove

Re: [MEDITECH-L] 2D Scanners

2007-08-10 Thread Alan Miller
anners and make sure they work before you invest in hundreds. This is what we're in the process of doing. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> Frankie Young <[EMAIL PROTE

[MEDITECH-L] RXM Historical Meds

2006-03-01 Thread Alan Miller
ation Reconiliation efforts. We're Magic 5.5. Thanks in advance. Alan Miller Catawba Valley Medical Center Hickory, NC ___ meditech-l mailing list meditech-l@MTUsers.com http://mtusers.com/mailman/listinfo/meditech-l

Fwd: RE: [MEDITECH-L] RXM Historical Meds

2006-03-06 Thread Alan Miller
fragment I call from EDM.PAT file. We worked literally months on this. I almost know it inside and out so if you have any questions, let me know. Rae Frazer, RN Clinical Applications Specialist Northeastern Vermont Regional Hospital (802) 748-7502 -----Original Message- From: Alan Mill

Re: [MEDITECH-L] Rule for IBW Creatinine Clearance - Magic PHA

2006-03-07 Thread Alan Miller
your lab contact person give you an SRCR value for your TEST patient so you can really test it.) good luck, Alan Miller, RPh Catawba Valley Medical Center >>> "Gifford-Cook, Leslie" <[EMAIL PROTECTED]> 03/06/2006 15:19 >>> All messages should be posted in plain

Re: [MEDITECH-L] NPR pull query response element name and not just theresponse element code

2006-03-15 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == >>> Alan Miller 03/15/2006 09:03 >>> Shirley, try this: [EMAIL PROTECTED]"QUERYNAME", [EMAIL PROTE

Re: [MEDITECH-L] Frag report question

2006-03-15 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == >>> Alan Miller 03/15/2006 08:48 >>> I ran into the same problem. If you use detail lines in NUR.PC.WORK, you

Re: [MEDITECH-L] Pharmacy and Spiriva Inhalers

2006-03-30 Thread Alan Miller
ld be more prone to get tossed. Also sending separate blisters might set Nursing up to mistakenly use them as PO capsules. (I've heard that this has happened elsewhere) Alan Miller, RPh >>> "Melissa Wyant" <[EMAIL PROTECTED]> 03/29/2006 11:54 >>> All messages s

Re: [MEDITECH-L] E-MAR/BMV - 2 meds w/ same NDC

2006-03-30 Thread Alan Miller
#x27;t know a dose had been given. Because of this, we now process a single order with label comments that spell out "Now and BID" or "first dose now". Not sure how we'll handle it when we get around to eMAR. Alan Miller, RPh >>> "Lisee, Jan" <[EMAIL

RE: [MEDITECH-L] Medi-Span Problem

2006-11-02 Thread Alan Miller
day morning...later. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] www.RPhInformatics.com Proud Sponsor and Site Admin of www.MeditechTalk.com -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Sat

Re: [MEDITECH-L] NPR question - repeat a header key region

2006-11-10 Thread Alan Miller
nd goes. I hope it is of use for you. Alan Miller,RPh >>> <[EMAIL PROTECTED]> 11/01/2006 17:42 >>> Is it possible to print the header key again if the detail for the key region carries over to the next page? I'm already using a page header for grouping by something

[MEDITECH-L] Re: meditech-l Digest, Vol 25, Issue 1

2006-11-10 Thread Alan Miller
take care of these. 3. If you do not use the Meditech chargemaster do you use a Pyxis system to drop charges and is your pharmacy staff responsible for dropping the pharmacy charge on the patient bill? Everything Pyxis does is funneled through PHA. PHA patient charges are applied and passed throu

Re: [MEDITECH-L] Acudose STAT/NOW orders showing for only a short time??

2006-11-13 Thread Alan Miller
er changed the Pyxis side of the interface to identify the ONE and STA orders and disregard the lame one minute D/C message from Meditech. Instead, Pyxis gives these orders an 8 hour "active" window. Maybe the Acudose folks can figure out how to do the same... Good luck. Alan Mille

Re: [MEDITECH-L] Hold orders

2006-11-27 Thread Alan Miller
uate it to "D/C" until you get clarification via a "continue" etc. order. Alan Miller, RPh Catawba Valley Medical Center >>> "Parker Karen" <[EMAIL PROTECTED]> 11/22/2006 12:14 >>> To those of you who are using Pharmacy order entry: If a Physici

Re: [MEDITECH-L] PHA Generic Name Scripting Question

2006-12-01 Thread Alan Miller
s in FDB. I asked MicroMedex for a listing of the file layouts in their files. They were gracious enough to let me have them on the promise that I'd use the information only "inhouse". Several years ago, MediSpan provided the same information when we were one of their clients. I'll

Re: [MEDITECH-L] BMV scanners with ISBT 128 compatibility

2006-12-02 Thread Alan Miller
http://iccbba.org/about_bloodcomponentseng.html http://www.posguys.com/download/3800lr.pdf Hope this helps, Alan Miller, RPh >>> <[EMAIL PROTECTED]> 11/28/2006 17:12 >>> Is anyone using scanners for BMV that are also ISBT 128 compatible? We are currently using the

Re: [MEDITECH-L] Morning Dose Different than Evening Dose

2006-12-24 Thread Alan Miller
we always treat it as 2 orders for the very reason you describe Alan Miller, RPh >>> "MEDITECH-L" <[EMAIL PROTECTED]> 12/16/2006 23:24 >>> Original Message Subject: Morning Dose Different than Eveni

RE: [MEDITECH-L] Pyxis/BMV/Patient Own Med Controls

2006-12-28 Thread Alan Miller
Using controlled substance multi-dose vials brought in by the patient? That raises so many red flags I'd think I was in Moscow! Just say Nyet! Alan Miller, RPh >>> "Davis Daniel - Southern Hills" <[EMAIL PROTECTED]> 12/27/2006 10:55 >>> With out engine

Re: [MEDITECH-L] Backing up the eMAR

2007-01-03 Thread Alan Miller
5, 0255, etc to stay away from these peak times, and now it never fails to run. HTH Alan Miller, RPh >>> "Kim Corrette" <[EMAIL PROTECTED]> 01/02/2007 14:40 >>> Greetings, L-listers, How have other sites backed up the electronic Medication Administration Record

Re: [MEDITECH-L] Barcode formats

2007-01-04 Thread Alan Miller
Terry, If your scanners don't support the barcodes that the drug manufacturers use, you have 2 choices - you either get different scanners or you repackage the offending items. In the pharmacy, I use a Metrologic MS1690 that will read all but a very small number of our barcodes. Alan Miller

Re: [MEDITECH-L] Remove quotes from delimited report

2007-01-19 Thread Alan Miller
Sure. use computed fields for everything, DAT=INT in the computed fields tricks NPR into not seeing everything as text. HTH, Alan Miller, RPh >>> "Cardenas, Al" <[EMAIL PROTECTED]> 01/11/2007 14:16 >>> Hello, Is it possible to remove the quotes from a delimite

Re: [MEDITECH-L] OR Management - Documenting Other Substances

2007-01-19 Thread Alan Miller
Make them "dummy" pharmacy items. Alan Miller, RPh >>> "Michael Day" <[EMAIL PROTECTED]> 01/11/2007 15:13 >>> Hi: We are currently implementing OR Management, CS 5.5., and have a question regarding documentation. How is your facility documenting lu

Re: [MEDITECH-L] PHARMACY RULE QUESTION

2007-01-23 Thread Alan Miller
Wouldn't a regular npr report sorted by enter.date.and.time do the same time? Can you elaborate on what you're looking to accomplish? Alan Miller, RPh >>> Roger Beverly <[EMAIL PROTECTED]> 01/15/2007 12:58 >>> I am trying to write a pharmacy rule that will

Re: [MEDITECH-L] NPR report

2007-01-25 Thread Alan Miller
Rip, here's what we use (MAGIC 5.5). I have it SCHED to print weveral times daily to the respective nursing units. You may have to change query names to match what your facility uses. HTH, Alan Miller, RPh Patient Care Information Systems Catawba Valley Medical Center Hickory, NC

RE: [MEDITECH-L] Nurses enter coded allergies?

2007-02-11 Thread Alan Miller
Valerie, Interesting. Can you please clarify what "coded unverified allergies" are? Are these free-text queries? Are you Magic or C/S? thanks in advance. Alan Miller, RPh Catawba Valley Medical Center Hickory, NC 28602 >>> "Truax, Valerie" <[EMAIL PROTECTED

Re: [MEDITECH-L] Switching Formulary Service Vendors

2007-02-12 Thread Alan Miller
, yes, I'd do it again if I were asked (how can I tell my boss "no"?) Alan Miller, RPh >>> "Truax, Valerie" <[EMAIL PROTECTED]> 02/01/2007 06:34 >>> Hello L'ers Has anyone switched Formulary Service Vendors from Medispan to First Databank o

[MEDITECH-L] PHA IV label question

2007-02-16 Thread Alan Miller
at your facility? Thanks in advance for what I'm sure will be informative and useful answers. Alan Miller, RPh Patient Information Systems Catawba Valley Medical Center Hickory, NC 28602 PS: I know how the IV ingredients compilation thing works - we use it on TPN labels - but I&#x

RE: [MEDITECH-L] PHA IV label question

2007-03-03 Thread Alan Miller
Per request, here's the replies I got back. Unfortunately, not much information is available about it impacts the EMAR. My guess is not enough people have actually gone down that road yet to have much to say Alan Miller,RPh = Sherlene Christen &l

Re: [MEDITECH-L] ASCII character on wristband

2007-03-05 Thread Alan Miller
you should be able to add an ascii code anywhere you wish by concatenating D(##). For example, "D(124)_whatever" would return "|whatever" (quote marks added for clarity). HTH, Alan Miller >>> "Terry Price" <[EMAIL PROTECTED]> 02/23/2007 11:2

Re: [MEDITECH-L] Bold font within an MV array...

2007-03-13 Thread Alan Miller
This "usually" works in computed fields: VAL=/R.F["b"[EMAIL PROTECTED]/R.F[""] where the first slash piece bolds what follows and the second part resets it. Haven't tried it in a macro, though. HTH, Alan Miller, RPh Patient Care Information Systems Catawba

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

2007-03-13 Thread Alan Miller
NPR reports that sort by generic.id put tallman drugs at the end. You can work around this by converting the field to uppercase in a computed field like this: [EMAIL PROTECTED] Much easier than waiting on Meditech to make it right... Alan Miller, RPh Patient Care Information Systems Catawba Valley M

RE: [MEDITECH-L] Negative orders - eMAR

2007-03-14 Thread Alan Miller
Sorry to have to ask, but what's a "negative medication order"? Alan Miller,RPh >>> "Freeman, Gale" <[EMAIL PROTECTED]> 03/08/2007 10:06 AM >>> I just found out from our Pharmacy director , we do not process those types of orders so we do not h

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

2007-03-17 Thread Alan Miller
Jan, Pyxis maintains its own med descriptions. You will need to manually update them in Pyxis just as you did in Meditech. Alan Miller, RPh >>> "Lisee, Jan" <[EMAIL PROTECTED]> 03/13/2007 10:59 AM >>> We have found that if you interface your Pyxis machines, t

Re: [MEDITECH-L] EDM.PAT npr report

2007-03-19 Thread Alan Miller
d returns no records. (If you're C/S, there is probably a similar field.) Alan Miller, RPh >>> "DIANE" <[EMAIL PROTECTED]> 03/16/2007 01:26 PM >>> To all you NPR gurus's... I am writing a report in EDM.PAT which will list all trauma patients that have

Re: [MEDITECH-L] Status Changes on Discharged Patients?

2007-03-24 Thread Alan Miller
ad over 600 override transactions from Pyxis attributed to the wrong account number. You can imagine how much fun it is to reconcile this mess... Alan Miller, RPh Patient Care Information Systems Catawba Valley Medical Center Hickory, NC 28602 >>> "Deanna Ramirez" <[EMAIL PROTECT

Re: [MEDITECH-L] PHARMACY CREDITING PROBLEM

2007-04-04 Thread Alan Miller
s/Omnicell, and if the account number they provide is not a good match with what's in Meditech, all associated transactions never make it PHA and are lost. We have about 600 of these transactions per month... Alan Miller, RPh Catawba Valley Medical Center Hickory, NC 28602 >>> "Go

RE: [MEDITECH-L] BMV and Employee badges

2007-04-05 Thread Alan Miller
D is the next big thing. It would require proximity of the badge to work. Ostensibly, a device with a RFID reader could know who you are as soon as your badge gets within RF range and you could streamline any signon and verification processes. Alan Miller, RPh Catawba Valley Medical Center Hi

Re: [MEDITECH-L] NDC Codes

2007-04-13 Thread Alan Miller
do some sort of 340B tracking? Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> <[EMAIL PROTECTED]> 04/10/2007 12:11 PM >>> Hello L, Has anyone had problems with pharmacy charges fro

RE: [MEDITECH-L] Allergy Management in 5.6 and formulary service vendors

2007-04-27 Thread Alan Miller
e new allergy functionality in FDB makes this worry unnecessary. I wish MT would get it in place for the rest of us. Alan Miller, RPh Pharmacist Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 >>> "Thompson, Jeff" <

Re: [MEDITECH-L] Pharmacy mnemonics

2006-07-21 Thread Alan Miller
to "initiailze" the second entry, then change the new one to make it match what you need. Note that the NDC number for the second drug will have an "A" or whatever appended (concatenated) to it. This is OK, the FSV update will ignore the extra digit and process the new mne

Re: [MEDITECH-L] Medication patches and the on-line-MAR

2006-07-21 Thread Alan Miller
uot; order when they D/C the patch. One can't simply set the patch with a BID code (once to put on, once to remove) or it double charges... HTH Alan Miller,RPh >>> "Tara Mcnamara" <[EMAIL PROTECTED]> 07/20/2006 11:10 >>> All messages should be posted in pl

Re: [MEDITECH-L] Magic npr help with computed field

2006-07-22 Thread Alan Miller
st Middle". You can use the "punctuation method" to extract the pieces (at least in MAGIC, can't speak for C/S) [EMAIL PROTECTED]"0," gives you the number zero "piece" (last name) [EMAIL PROTECTED]"1," gives you the number one "piece" (ev

[MEDITECH-L] RE: EDM - Summary Report / Credentials

2006-08-01 Thread Alan Miller
tisfactory standard pieces in our Summary report with our own. Alan Miller, RPh >>> "Kathryn Wohnoutka" <[EMAIL PROTECTED]> 07/31/2006 09:54 >>> All messages should be posted in plain text. HTML will be converted to attachment

Re: [MEDITECH-L] PHA TPN Drug Dictionary Build/Order Entry

2006-08-15 Thread Alan Miller
e provided if you want, but it really would make for a long label.) Warning: be sure that your PHA toolbox setting is set to "Drug Ingredients Overwrite = N" before doing your FSV updates, or all this custom hard work gets messed up. Attached is source code for our TPN (thermal) label

Re: [MEDITECH-L] ADM.PAT Report Listing Unoccupied Rooms and Beds

2006-08-16 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Sure, one way is to start in MIS.ROOM.DICT and frag back to ADM.PAT. Please see attached example. HTH, Alan Miller, RPh Catawba

RE: [MEDITECH-L] NPR assistance

2006-08-18 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == "First, HCA has a custom version of Meditech" If you get right down to it, we all have custom versions of Meditech. It's worthless

Re: [MEDITECH-L] Pharmacy - Pyxis and fix DC function

2006-08-23 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == I doubt if anything is being blocked by Pyxis. I'll bet Meditech is simply not sending anything to Pyxis for FDC's. (Pyxis can onl

[MEDITECH-L] NUR.PC.WORK.zcus.prt... printing problems

2006-08-25 Thread Alan Miller
and also "a valid printer". The COW pokes get their output via PAT, and the DaySurgery folks get theirs (and everyone else's) on their local printer. There must be a better way We'd appreciate any L-workarounds or L-insights. TIA, Alan Miller, RPH Catawba Valley Med

RE: [MEDITECH-L] NUR.PC.WORK.zcus.prt... printing problems

2006-08-28 Thread Alan Miller
- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Wednesday, August 23, 2006 3:49 PM To: Meditech-L Subject: [MEDITECH-L] NUR.PC.WORK.zcus.prt... printing problems All messages should be posted in plain text. HTML will b

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

2006-09-01 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == Charlotte, @drug.id is a wierd field. It is defaulted by Meditech to be @generic's.name_" "[EMAIL PROTECTED] If your @drug.id fiel

Re: [MEDITECH-L] BMI Calculation using inches and pounds

2006-09-06 Thread Alan Miller
All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com == The CDC has some info, including an online calculator. If your users have web access, you could provide a link to their site. I do

[MEDITECH-L] RE: Info to Speed up Micromedex PHA FSV load times.

2006-09-22 Thread Alan Miller
wonder it takes so long to load MicroMedex! Alan Miller, RPh >>> "Herb Bromenshenkel" <[EMAIL PROTECTED]> 09/21/2006 16:52 >>> All messages should be posted in plain text. HTML will be converted to attachments.The meditech-l web site is MTUsers.com ==

RE: [MEDITECH-L] OR-MM Formulary Issue

2006-10-16 Thread Alan Miller
y), I download the new prices and generate a spreadsheet that is used by our IS folks to script into BAR. Once you get your prices figured out in OR, you could use the same approach. Hope that helps, Alan Miller, RPh Catawba Valley Medical Center Hickory, NC >>> "Deanna Ramirez"

Re: [MEDITECH-L] Suppressing decimal zero

2006-10-21 Thread Alan Miller
Harry, here's a copy of a KB article that should help. Alan Miller === Article ID: 17231 Date: 9/25/2003 Published: 1/26/2004 Application: RW Subject: Report Writer Platform: MAGIC Strip Trailing Zeros To strip trailing zeros from field output you s

Re: [MEDITECH-L] PRN Label with Ingredients...

2006-10-26 Thread Alan Miller
Hi, Brent, Your request sounds similar to what we've set up. Our label format has some other features as well. Feel free to use it as you see fit. Please contact me if you have any questions about the file. Hope this helps, Alan Miller, RPh >>> "Massey, Brent" <[E

RE: [MEDITECH-L] Medi-Span Problem

2006-10-28 Thread Alan Miller
I wouldn't call it a "non-response". What he is saying is, after checking with the people who maintain the data, there is nothing wrong with the data as Medi-Span presents it. It appears we have a finger pointing "he said, she said" situation here. From past experience, I have more faith in w