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Topic location: Forum home » Pharmacy » PHA
Dec 18 '13
2013-12-18 14:31:13
How are other facilities handling entering home medications for patients when they do not know the strength of the dose they are taking? Right now our nurses our selecting the lowest dose, so that it goes in to Meditech as a confirmed medication, but that isn't correct either. Our med rec team is having a hard time determining the best way to get this data correctly and most effectively.
Tim McIsaac
Financial Specialist - IT
West Park Hospital
Cody, WY 82414
Dec 19 '13
2013-12-19 05:49:26
it was a huge pile of work for pharmacy (and there are some downsides if in-patient physicians are sloppy trying to do Med Rec), but our beloved pharmacists created custom zero dose strings that nursing could pick and that has worked out well for the most part. Example below as to how it appears to nursing:
[cid:image001.png@01CEFC86.6B571750] and this is how it appears if they select so gives a clue about the PHA build side:
Nursing still can add any information they have about how often, last dose, etc but this prevents incorrect information from being moved forward. We tried selecting lowest dose and removing from the dose box, but because it was still tied to a formulary item, that info did always appear later and was even more confusing plus being essentially incorrect.
Dec 20 '13
2013-12-20 08:52:56
Hi there. We have them zero dose it. I would hesitate to have them enter any dose if they don't know since actual know and this constitutes documentation and part of the legal record (unless that is clearly stated in your policies).
We find that the zero dosing helps the staff focus on which meds need follow up with family, pharmacy excetera.
Jeannie Borg RN
Clinical Facilitator, iEHR Project
Health Information Technology
Government of Nunavut
wqwq May 16 '18

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