We are Magic 5.5 SR2 and are still rolling out house-wide.  Pharmacy is
open 24/7.   ED has been held off for now as we're also implementing EDM
and will roll out e-MAR and possible BMV at that time.  We use
dispensing machines for PRNs and controlled substances.  Nurses can
override certain drugs, but we have intentionally suppressed the
dispensing machine orders from showing on the e-MAR.  We feel this is a
major safety issue that gives the nurse a false sense of security that
the order was either reviewed by pharmacy already or went through
computer 'decision support' processes, which it hasn't.  We chose the
Enter Med (EM) routine route for documenting override orders.  We didn't
like the idea of nurses doing a lookup into the PHA drug dictionary, so
with Meditech's help, we wrote a rule that only allows the EM routine if
the drug is scanned through BMV.  That way we know they are actually
creating the order for the med that they are actually giving.  The nurse
also gets order entry warnings (allergies, duplication, interactions,
etc) before giving the drug.  All EM orders by nursing/RT are
unverified.  We allow UNV orders on the nurse's e-MAR, so it seems this
process would also work for facilities that are not 24/7.  Every order
is verified (VEC) by pharmacy.  If it is a 1x order, it just goes to dc
after it is verified, otherwise the pharmacist edits the order to match
the physician order if the nurse did not enter it correctly.
 
Personally, I'm surprised that JCAHO hasn't picked up on what we
consider to be a hole in the BMV process by charting against dispensing
machine override orders.  I know we are in the minority with how to
handle this situation.  Certainly, allowing the dispensing machine
orders to flow to e-MAR makes the process much smoother for pharmacy and
maybe nursing, but does it really meet the intent of pharmacy order
review in regard to patient safety?
 
Comments?  I suspect I've may have hit a nerve on this one.
 
Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401
 
(205) 750-5323
[EMAIL PROTECTED]

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From: Burgos, Gloria [mailto:[EMAIL PROTECTED] 
Sent: Friday, April 13, 2007 7:01 AM
To: Jeff Lee
Cc: Burgos, Gloria
Subject: RE: [MEDITECH-L] eMAR - Verified/Unverified Meds
 
do your nurses enter in med orders as verified without Pharmacy
verification?
 
Does your pharmacy ever have to verify the order?
 
How do you meet JCAHO requirements for 24 hour review?
 
Is this system used in the Inpatient and ED at your facility?
 
Are you a C/S or Magic facility?
 
Thanks in advance,
 
Gloria Burgos, PMP
Halifax Community Health System
Daytona Beach, FL
 
 
________________________________

From: [EMAIL PROTECTED] on behalf of Jeff Lee
Sent: Thu 4/12/2007 8:58 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: [MEDITECH-L] eMAR - Verified/Unverified Meds
You could use the Enter Med routine from e-MAR.  The nurses would have
to have PHA access to enter Verified Orders since you are suppressing
them from e-MAR.  I believe you could use the new 'Conflict' settings to
still queue these orders up for pharmacist review.  If there was an
error in order interpretation, etc but the dose was administered, the
pharmacist could discontinue the order with a reasonable explanation why
it is being discontinued and re-entered.
 
We use Enter Med for this scenario but leave their orders UNV and show
these on the e-MAR.  In the case that there was an error, the pharmacist
still has to verify the order and they didn't feel comfortable with this
at first.  We have them say something like 'verified dose was given' and
then edit or re-enter the order.  The patient did in fact receive that
medication/dose.  We were looking for a phrase that wasn't too critical
or would draw undo attention.
 
Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401
 
(205) 750-5323
[EMAIL PROTECTED]

The information contained in this e-mail message is confidential
information intended only for the use of the individual or entity named
above. If the reader of this message is not the intended recipient or
the employee or agent responsible to deliver it to the intended
recipient, the reader is hereby notified that any dissemination,
distribution or copying of this communication is strictly prohibited.
________________________________

From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf
Of [EMAIL PROTECTED]
Sent: Monday, April 09, 2007 12:14 PM
To: [EMAIL PROTECTED]
Subject: [MEDITECH-L] eMAR - Verified/Unverified Meds
 
We are firmly entrenched in eMAR maddness here and are trying to look at
medication process/workflow.
Recently we had a custom moved in that would restrict all unverified
meds from going to the eMAR to prevent nursing from administering
medications that have not been reviewed by a pharmacist. We have however
found a flaw in the plan. If the physician writes a stat order, the
nurse gives the medication (because it is an emergent drug that they can
overrid in the dispensing machine), but pharmacy refuses to verify the
medication without making a change because they feel it is not
appropriate. How can the nurse document exactly what they gave, when the
medication will not be on the eMAR, or the dose on the eMAR may be
different than the dose they gave. (We are also not allowin nursing to
use the adjust dose functionality).
 
I know other sites have this custom and are using it, anyone out there
have any ideas?
 
Thanks as always for your insite!
 
Danielle J. Peppard RN
Clinical Systems Consultant
for Berkshire Health System
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