I agree with Cindy. I think a "new" status showing DCDU would be useful. The order disappearing with a cancel would seem to be a lot more work. Autoverifying of the order seems just plain dangerous. Just my 2 cents.
Jeff Thompson Newman Regional Health -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Monday, April 30, 2007 4:17 PM To: [EMAIL PROTECTED] Cc: [EMAIL PROTECTED]; [email protected] Subject: 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 curious to see what is happening. I don't think either the old way or the "new way" is quite right. Currently, if a patient is discharged, all his verified orders are DC'd - correct? And you are saying that the way it used to be is that if you had an unverified order entered and a patient was discharged before it was verified, the order was then canceled. In that case, if an order was pulled from a machine on override without a verified order, you would have the override debit to note that the med was pulled, but you would still have to go back and "find" the matching order in the chart to verify that the med was pulled against a real order. With your update, UNVERIFIED orders are AUTO-verified when the patient is discharged, and then , I am guessing, they should be DC'd right after and they would have no debit or dispense associated to them. If the nurse pulled the med before the order was verified, there would still be an override order - correct. With the updated version, there would be an unverified order which was autoverified and DC'd, so I guess that would help with "matching" the over-ride against an order. But the order would technically still be unverified by a pharmacist and the written copy would still have to be pulled from the chart. This is what I think "should" happen - although I know it probably won't happen this way. If an order is entered as Unveriified and the patient is discharged before the order is verified, the Unverified order should be DC'dU (DC'd as unverfied) That way, if an over-ride is pulled against a written order, you can match the over-ride pull against the unverified order and then see if the pharmacist was just way behind in verification or whatever on that day. If the unverified order is CANCELED - it disappears and there is no record of even an attempt to enter the order being done. On the other hand, if the Unverified order is auto-verified by the system and then DC'd, it gives an initial picture of the order having been verified by "someone", thus if the unverified order was entered incorrectly and then auto-verified, but the med was pulled on override just prior to the discharge, it could appear as though the wrong dose/med was pulled on over-ride ( or the other way around). It just doesn't seem quite right the way it is currently programmed. thanks cindy This e-mail message, including its attachments, is for the sole use of the intended recipient(s) and may contain confidential or privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. <[EMAIL PROTECTED]> Sent by: [email protected] To "'Allan Townsend'" <[EMAIL PROTECTED]>, <[email protected]> 04/30/2007 01:48 PM cc [EMAIL PROTECTED] Subject Please respond to RE: [SPAM] [MEDITECH-L] C/S 5.5.2 PHA Unverified Orders [EMAIL PROTECTED] Hey David/Allen- My knee jerk response is most likely the same as many others - why are UNV orders sitting in the queue that long? But besides that, I think the catch for me is...have the meds been dispensed and/or possibly administered? Are these UNV orders entered by Pharm Techs or do you use POM? For patient safety, I believe most site DO NOT have UNV orders cross to the eMAR or a dispensing cabinet - so that should leave the possible "floor stock" or an override from the cabinet as a choice for nursing to get the med in the first place. I am certainly not defending MT, but my understanding was the use of auto-verify has to do with billing...a CAN order goes no where. I don't like it either, but I think as you roll with the update and the changed functionality (that goes for any app with any update/new release) we are forced to re-assess our current workflow and it lends toward the opportunity for some process re-design. Best of luck - Kevin. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] www.RPhInformatics.com -----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Allan Townsend Sent: Thursday, April 26, 2007 1:37 PM To: [email protected] Cc: [EMAIL PROTECTED] Subject: [SPAM] [MEDITECH-L] C/S 5.5.2 PHA Unverified Orders Hello; a posting on behalf of our PHA specialist We recently took a service release and jumped from 5.3.6 to 5.5.2. After the update we discovered that unverified orders were no longer being treated the same way in the Pharmacy module. Previously, if an unverified ordered was on a patient profile and the patient was discharged before the order was verified, the order would be cancelled. With the new release, the order is now auto-verified by the system. We perceive this as quite dangerous. Have any other sites had experience in dealing with this issue. 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