Pharmacy Set up Bedside Medication Verification

Pharmacy Toolbox Parameters

Enable Bedside Scanning Option?: If this prompt is set to Y, nurses have the ability to use bar code scanners to verify medications when documenting medication administrations via the PCS On-Line MAR (eMAR). Bar codes can also be entered manually by users in the event of an issue with the bar code reader. If this prompt is set to Y, Pharmacy users will also be able to use the Compounding Verification routine to verify the medications being dispensed for multi-component orders, such as IVs and compounds. If this prompt is set to N, the BMV feature is disabled and these functions will not be available. Require Initial Patient Verification?: If this prompt is set to Y, nurses will be required to verify the patient prior to verifying medications. Nurses may verify the patient either by scanning a bar code or via manual entry of the bar code. If the patient scanned does not match the patient selected for the eMAR, the nurse will not be able to proceed. If this prompt is set to N, nurses will not be required to verify the patient prior to verifying medications. *This prompt, the one below or both should be set to Y for proper medication verification. Require File Patient Verification?: If this prompt is set to Y, nurses will be required to verify the patient prior to filing the documentation of verified medications. Nurses may verify the patient either by scanning a bar code or via manual entry of the bar code. If the patient scanned does not match the patient selected for the eMAR, the nurse will not be able to proceed. If this prompt is set to N, nurses will not be required to verify the patient prior to filing the documentation. *This prompt, the one above or both should be set to Y for proper medication verification. Enable PCS Compound Verification?: If this prompt is set to Y, nurses will be able to scan bar codes on the component medications dispensed for multi-component orders to verify that the correct medications are being given. If this prompt is set to N, nurses will not verify the component medications during documentation. Pharmacy would still be able to verify component medications in the Pharmacy Compounding Verification routine.

Pharmacy Toolbox Parameters

EMAR Detail Stats: Enter the number of days the system will retain information to be compiled in the eMAR Measuring and Monitoring Report – Detail. The system can store this information up to 99 days, after which it will not be available for detail reporting. EMAR Summary Stats: Enter the number of days the system will retain information to be compiled in the eMAR Measuring and Monitoring Report – Summary. The system can store this information up to 999 days, after which it will not be available for summary reporting.

Pharmacy Customer Defined Parameters

Drug Bar Code Formats: .ANY: Up to 18 characters, excluding back (\) and forward slashes (/) .DIN.1: Eight-digit Canadian D.I.N. number .DIN.2: Eight-digit Canadian D.I.N. number plus a combination of three letters and numbers .EAN.128: Code 01 followed by packaging level indicator, followed by a reserved character, followed by a 3, followed by a 10 digit NDC # which finally ends with a check digit. Additional characters can follow but they will be stripped off for now. .NDC.1: Eleven digits, or eleven digits plus one letter .NDC.2: Ten digits .NDCEX.1: Sixteen to eighteen digits, where the first digit is a 3  a 10-digit NDC number is composed of the second through eleventh digits  the twelfth digit is a 1, 2, or 3  the medication's expiration date (in either a MMYY or MMDDYY format) is composed of the thirteenth through eighteenth digits .UCC.12: Encoded 10 digit NDC #. Starts with a 3, has 10 digit NDC number and then a check digit between 0-9 that confirms that the barcode is a UCC format. .UCC.14: A 1-character packaging unit, followed by a reserved character, followed by a 3, followed by a 10-digit NDC #, ending with a check digit to insure that the barcode is a UCC-14 format.  MEDITECH recommends that the.ANY format always be attached to allow the system to recognize free text and other formats not listed, but as the last format on the list.

Pharmacy Formulary Dictionary  NDC/DIN #: The medication’s NDC or DIN number is the default bar code identifier used by the system. MEDITECH recommends that all Formulary entries include the correct and accurate NDC number as this is also used for allergy and interaction checking outside of the BMV feature.  Bar Code Identifier: Using free text for manual entry or a bar code scanner, enter any additional bar code identifiers used for this medication. These do not need to be unique to the Formulary entry and will be checked if there is no match with the NDC/DIN number defined above.

Quick Add Bar Codes by Drug Use this routine to quickly assign bar code identifiers to a medication defined in the PHA Drug Dictionary. Using this routine to define bar codes saves time because you need to enter only bar code data before filing the routine. This routine can also be used remove bar code identifiers, but cannot edit or remove the NDC/DIN number.  Drug: This prompt looks into the Formulary Dictionary and selects the medication for which bar codes will be added.  NDC/DIN #: This prompt defaults the NDC/DIN # attached in the Formulary dictionary from the drug selected.  Bar Code Identifier: Users can either enter free text or scan a medication label to populate this field. Users can enter multiple bar codes per medication. Upon filing this routine, the bar code entered here will populate the Bar Code Identifier prompt on the Purchasing page of the Formulary dictionary for the selected medication

Quick Add Drugs by Bar Code Use this routine to quickly enter or remove bar code identifiers for multiple drugs defined in the Formulary Dictionary.  Bar Code Identifier: Using free text entry or a bar code scanner, enter the bar code identifier to be added.  Primary Drug: This prompt defaults the mnemonic and description of the drug (if any) with the bar code identifier attached as the NDC/DIN # in the Formulary dictionary.  Alternate Drug(s): Users can select additional Formulary entries to be associated with the bar code identifier. Upon filing this routine, the bar code entered here will populate the Bar Code Identifier prompt on the Purchasing page of the Formulary dictionary for the selected medication(s). This routine is also useful for identifying and validating which Formulary drugs a given bar code identifier is attached to.

Pharmacy Order Type Dictionary Report Fragments: For Pharmacy to generate labels with bar codes, label fragments must be created in Customer Report Writer that include bar coded data.  MEDITECH recommends that label fragments for MED order types include the medication’s NDC/DIN number, as defined in the Formulary dictionary. Since the SPLIT, COMP, IV and ALT order types involve multicomponent orders, label fragments for these should include the order’s RX number.

Compound Verification Routine

This routine allows users to scan the individual medications being dispensed for multicomponent medication orders (such as compound and IV orders) to verify that the correct medications are being dispensed.  Rx#: Select the medication order to be verified. The screen will default the patient and order information, including the component medications.  Bottle Type: For Alternating IV orders (ALT order types) enter the bottle type to be verified to display the component medication list.  Bar Code Scan: Use a bar code scanner to scan the label of each medication being dispensed for the order. Manual entry of bar codes is also supported. The system determines whether each medication scanned is included in the order and is not expired (if expiration data in included in the bar code). If the scanned medication is not included in the order, the user cannot verify the order. However, if a medication is expired, verification can continue. After the system verifies a scanned medication, a check mark appears next to the medication. Before the user can save the information, each medication in the order must be verified. Note: If an NDC/DIN number or a bar code identifier is not defined in the Formulary dictionary for one or more components of the Rx, this routine cannot verify the order. Nurses can also verify the medications dispensed for multi-component orders via the PCS Medication Administration Record if this option is set in the Pharmacy Toolbox Parameters. To list the multi-component orders verified via this routine and in the eMAR, use the Compounding Verification Report routine.