Alan I have done this at sites by entering the order using the two product but via NPR changing the label so that it only prints the Generic Name onced with the total dose. Terry
________________________________ From: [email protected] on behalf of Alan Miller Sent: Wed 14/02/2007 11:28 To: Meditech-L Subject: [MEDITECH-L] PHA IV label question Hello, L'ers, A concern has come up in our department regarding IV labels versus 340b. Presently, if we make an IV that requires two different strength vials of the same drug, we choose the higher strength and change the dose so the label will have only one entry for that ingredient. However, this messes up our 340b reporting, and would mess up inventory tracking if we used it. (We won't even discuss charging the patient incorrectly...). EXAMPLE: Taxotere 90 MG IV should ideally be made and charged using a 80 mg vial and a partial 20 mg vial. This is how we are actually making it, but the label doesn't reflect what we are actually doing. If we make the IV label and charges match what's actually used (1 x 80 mg & 1 x 20 mg), the label would look something like this: +-------------------------------------+ | *** LARGE VOLUME IV *** | | RM: xxx, etc | | PAT#: Vxxx, etc | | PATIENT'S NAME, etc | | SALINE 0.9%(V22) 250 ML | | taxoTERE (DOCEtaxel) 80 MG | <- (from the 80 mg vial) | taxoTERE (DOCEtaxel) 10 MG | <- (from the partial 20 mg vial) | rate,comments, etc. | +--------------------------------------+ We're afraid making this change will really confuse our already overstressed nursing staff. My question is: how are you handling this very fundamental IV process 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'd rather not have to go that route for all IV's. =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
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