1. Created by: Laura Kennedy (2012)
6.0 MERGING/LINKING Dispensing Machine Overrides
Inpatient Care and Dispensing Machines
Toolbox Parameter: Number Hrs Match Unverified Orders with DM (Turns on Link/Merge)
Case 1: Dr orders, RPh verifies, Nurse vends med
1. PCM - Order VICODIN on Inpatient
2. PHA - Verify Rx, Confirm DM Inventory Assigned
3. PHA - Use DM Simulator to Vend
4. PHA - Use Rx Audit to confirm Debit and Charge on Rx
Case 2: Dr orders, Nurse vends med, RPh verifies
1. PCM - Order IBURPROFEN400 on Inpatient
2. PHA - Use DM Simulator to Vend
3. PHA - Use Rx Audit to confirm MERGEDM entry on Unverified Rx
4. PHA - Verify the Rx, Confirm Process Matching DM Order Pop-Up, Review MERGE, LINK, SEPARATE choices
Case 3: Nurse vends med, Dr orders, RPh verifies
1. PHA - Use DM Simulator to vend DIAZAPAM 5 mg
2. PHA - Confirm .STK-MED Override created, and it dispensed and charged
3. PCM - Order DIAZAPAM 5mg
4. PHA - Verify Rx, confirm Process Matching DM Order Pop-Up, LINK or SEPARATE only Choices
5. PHA - Use Rx Audit to confirm link in Override Rx and that a debit is now on the Standing Rx.
Emergency Dept and Dispensing Machines
Case 1: Dr orders, Nurse vends
1. EDM - Order VICODIN on Outpatient
2. PHA - Confirm Rx is Verified/Active and linked to DM inventory
3. PHA - Vend Rx using Simulator
4. PHA - Confirm Rx has debit from DM
Case 2: Nurse vends, Dr orders
1. PHA - Vend IBUPROFEN 400 mg using Simulator
2. PHA - Confirm .STK-MED Override created, and it dispensed and charged
3. EDM - Confirm Override Rx is displaying and DC'd.
4. EDM - Order IBUPROFEN 400 mg on Outpatient
5. EDM - Confirm Override Rx has been removed and only Standing Rx appears on list.
6. PHA - Confirm Override Rx and Standing Rx appear together and are Linked.
MAR
Override orders can be documented as given and would have been at the time of creating them. They then either fall to the
bottom of the profile or are removed entirely depending on settings. Historical Links are provided to show administrations
for the standing Rx.
Admin Billing
If the patient/s are in Admin Billing locations, then no charging occurs until documentation on the MAR. The system will still
record dispensing times from the DM in PHA as normal. In the above steps, simply add a Documentation step in EDM or
PCS directly following the Vend Step in each Case.