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 <[EMAIL PROTECTED]> When Medicare started all of their incremental dose payment, we decided to only keep the smallest size in Meditech where chemo is concerned. Therefore keeping the patient billing as accurate as possible. We stock other sizes, but thought having them all in Meditech would be too confusing for Nursing and Pharmacist (especially PRN or new ones that may not know our inventory). If you are using Meditech to manage your inventory, I can see how this wouldn't work for you. ================================= Terry Lehmann <[EMAIL PROTECTED]> 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. ================================= Melissa Wyant <[EMAIL PROTECTED] We use the smaller vial size for all entries. This will send the correct cost and J Code information to the billing department. The cost for most of the 340 B drugs allows for the accurate billing .(if the 20 mg costs us $100.00 then the 100 mg costs us $500.00) This solves your label problem but not the 340 reporting or inventory issue. ================================= Steve Botwinski <[EMAIL PROTECTED] In order entry I enter with the 2 vials. My output is 2 labels. The first label is the one that goes on the bag to the floor and just has the total dose of the drug: Taxotere 90mg The 2nd label is what we call the check label (pharmacy use only) and shows both lines so the tech knows how to make and the correct inventory is deducted. The billing goes across correctly. The difference is on the first label only one line with the total dose shows up. It requires a lot of set-up because you are going to use the ingredient dictionary and on 1st label list ingredients with total dose but on label 2. It is additive and dose. ================================= Terry Crissman <[EMAIL PROTECTED] We enter IV/IVPB orders with the separate additives and each additive appears on the IV label per your example. I don't like it but haven't found an alternative/workaround. ================================= Terry Lehmann <[EMAIL PROTECTED]> I don't know about the eMAR as I have not implemented but as I understand it is not flexible. Many sites are pushing for it as well as EMR(C?S) and PCI (Magic) and the Process Orders screen to display the "rx.id" as that can be modified at order entry. This is especially usefull for COMP and perhaps IVs. If you add your voice to that request it may help. >>> "Williams Marilyn" <[EMAIL PROTECTED]> 02/16/2007 01:52 PM >>> Would you please post the results of what you hear? Thanks, Marilyn Williams, R.Ph. HCA IT&S -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Wednesday, February 14, 2007 10:28 AM 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 =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= 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
