[MT-L] accudose vs med cart

[Kenneth D. Orr]

Hey L-

We are going with BMV in a couple months and are in the process of
putting in room medication storage in the patient rooms. Pharmacy will
drop off 24 hours worth of meds to the nurses and they will be stored in
each patient's room. The problem is that if meds are stored in the room
and something just happens to be in the accudose, the nurse has to go
out the room to get it instead of grabbing it ahead of time.

Currently, on our paper MAR's we have it listed if the med is in the
accudose or the med cart. One floor may have IV Furosemide in the
accudose and another floor may not have it, so it could be very
confusing as to which floors have what where. This isn't a problem for
PRN meds as we get all PRN meds from the accudose, but that scheduled IV
Furosemide may be or may not be in the accudose depending on what floor
you're on.

Anyone have a suggestion on how we could keep this straight for the
nurses?

Thanks,

Kenneth

kenne...@tuomey.com

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[Jeff Lee]

Page 3, drug dictionary, can be set so that these doses are filled with the rest of your scheduled meds if you want to go that route. Then your furosemide-type drugs in AcuDose can just be reserved for 1x orders (we have actually created a directions dictionary "ACUDOSE" that is a ONE time order and helps the nurse know what the pharmacist is thinking about dispensing.

MAGIC 5.63

Jeff Lee
Assistant Director of Pharmacy, Support Services
DCH Regional Medical Center
809 University Blvd E.
Tuscaloosa, AL 35401

(205) 750-5323
jl...@dchsystem.com

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[Deignan Marianne]

We have long had a definition of a provider (ie we created a provider
entry and linked it to the user and allowed that user to then document
in pDoc vs PCS) that was a licensed provider credentialed by our medical
staff.

We are straining under that definition for people like Diabetes
Educators that see patients in outpatient hospital based clinics. Our
physicians see them as "providers" in that they make independent
recommendations for care but only the Nutritionists are licensed and
meet the current "provider definition. The RN educators do not.

We want to expand the definition but not sure how far this will go? All
therapists, wound care nurses?

Does anyone have a definition of providers that they would be willing to
share?

Thanks.

Marianne Deignan
Berkshire Health System

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