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Objective
• Understand Nursing Order Verification Process in EHR and the Relationship to the Bar Code Medication Administration application
What Does it Mean to Verify an Order?
• Acknowledge receipt of the order• Agree that it is appropriate within the plan of
care• Arrange to have order accomplished
• Transcription when needed• Ensuring meds are entered in such a way that
they will display appropriately in BCMA
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Lab Orders
How can you determine this Ward Collect?
Note:
Ward Collect Labs stay PENDING until specimen received in lab
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Fields To Check When Verifying a Med Order
• Drug• Dose • Units/Dose• Route • Schedule Type• Schedule
• Admin Times• MD• Start date/time• Stop date/time• Special instructions• # of orders created
8
Finding the Info in CPRS
• Drug• Dose • Units/Dose• Route • Schedule Type• Schedule
• Admin Times• MD• Start date/time• Stop date/time• Special instructions• # of orders created
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First Dose Rule
• First dose rule—The first dose is always due on the start date of the order. (But BCMA might not LET you give it!)
• For meds due Q 48 hours or LESS OFTEN (more time between doses) the first dose rule determines when the med will display in BCMA
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Remember
• The first dose is always due on the start• date of the order – even though you can’t
give it
• Where this will be an issue . . .• QOD, Q48H, and Q72H orders
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Stop Dates
• Meds good for 30 days (or period as defined by local policy) EXCEPT• Narcotics• Antibiotics
• Doctor may specify a shorter stop date
• (Please note, examples were taken from long term care where 100 days was standard)
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One Order or Two?
• Know your admin times!
• Is your now dose going to be too close to your first scheduled dose?
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One or Two Orders??
• One-time NOT too close to regular dose• Verify both• Give both
• TOO CLOSE• Call MD to cancel now order OR• Verify both
• Give NOW dose• Mark first regular dose as held
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MD order:Temazepam 15 mg bedtime.
May repeat x 1 if first dose not effectiveHow many orders
should be created?
Two
One Continuous, One PRN
With “cross reference”
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ODD Schedules
• Odd schedules are not divisible into 24 hrs• Q18H
• Odd schedules are not divisible by 24 hrs• Q36H
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I will verify carefully!
I will verify carefully!
I will always always always verify carefully!
I am NOT too busy to verify carefully!
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