Back Dating Orders | Forum

Topic location: Forum home » Order Management » Orders
Nov 9 '17
2017-11-09 14:23:25
Here is our situation. Prior to our last PP we had a "bug" in which we were able to back DATE orders in POM/OM. Since our PP we cannot back date (which is as designed) but we can back time. The question is coming up on whether or not we should be dropping to paper for orders that need to be back dated.
Example- (keep in mind we do not have a night pharmacy to mix drips) 11pm ICU nurse receives a telephone order for a critical drip from a provider. (provider will not enter orders from home)The nurse will override from the Pyxis and prepare the drug then go to the patient bedside and administer the drug (if they use the EMAR they will scan the override). After the patient is stable which can take some time they will enter the order. In this scenario the nurse stabilizes the patient and it is now 12am the next day. They cannot back date the order and the documentation looks like they started the drug without an order.
They could learn how to enter it through OE but I don't know that they are willing to do this. How are you handling situations like this? How are you avoiding them?
Nicole Troland, RN
Clinical Systems Analyst
Charlotte Hungerford Hospital
Torrington, CT
860-496-6494

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Nov 9 '17
2017-11-09 15:06:25
You didn't mention what platform you are on, but in Magic when we scan a drug that is not ordered to add it to the eMAR and document it, we are prompted to enter the order source and it creates an order in PHA. The pharmacist will then process the order after the first admin is documented.
Kim Frick, RN, BSN
Nurse Informatics Manager
Licking Memorial Health Systems
Phone: 220-564-4114
Fax: 220-564-4769
kfrick@lmhealth.org<mailto:kfrick@lmhealth.org>
www.LMHealth.org<http://www.lmhealth.org/>;
Nov 9 '17
2017-11-09 15:08:07

We are Magic as well. Thank you!
Thanks!
Nicole
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