Managing your med list with checkmarks and red dots Flashcards
What are the three columns in your medication list?
green checkmark. D column is for the red dot which is the default. P column is for the yellow dot which you select when you want to dispense the whole package.
What does a yellow dot mean
It will dispense a full package regardless of the dose. In other words the dose amount, and the dispense amount can be different. Therefore nurse can give less than the full vial or package.
Do not use the yellow dot in these 2 situations
Drugs were the RN will administer the entire amount like an antibiotic or chemotherapy over 22 hours
Drugs were the dose should always be rounded to the full vial/ package
Yellow dot and dispense
Yellow dot does not change the dose amount will not force the dose to be rounded to the nearest vial size
Yellow dot do not use
You should not yellow dot the drug unless you would still dispense the entire package, even if the dose was less than the entire package
Yellow dot example
A drug that is only dosed at 60 mg in a refillable syringe. If 40 mg is ordered and you dispense the 60 mg syringe and want the RN to administer the part of the syringe then yellow dot the NDC. If you would draw up the 40 mg dose then do not yellow dot the NDC.
Green dot
Only the medication’s with a green dot in the P column are added to the preference list. Do not green dot an ingredient that would never be ordered on its own i.e. concentrated sodium chloride or potassium chloride.
What is IMS in EPIC?
Intelligent medication selection. Allows EPIC to pick the right ERX to dispense based on the dose and what is available makes it easier for the user to enter orders. The user just needs to select the drug and dose in IMS will do the rest.
Central pharmacy med list
all strengths that you stock on the central pharmacy med list, and select the NDC of each medication.
Central pharmacy med list, Greendot
Clear the green dot from all, but the smallest commercially available strength
Formulary med list
Add all strengths even ones that you do not stock
Why only green dot 1 strength?
Green dot only the smallest commercial available strength. This makes it appear in the facility. Preference list once.
Formulary med list why add strengths you don’t carry
Because the non-formulary flag is assigned before IMS happens. IMS could change the product to something that is formulary, but the order would still appear as non-formulary.
Green dotting infusions
Be careful, green dotting infusions
How the formula is different
Lowest commercial available strength should be green dotted
You should list all strengths of the medication even once you don’t stock
Reason
This allows interchange from the Home med list to items you stock without displaying them as non-formulary
IMS and IV products and drips
IMS allows a user to choose a single order ERX record and EPIC will pick the correct product to dispense based on these three things.
1 details of the order
2 details of the pt.
3 products available
With IMS you will get a single entry displayed i.e dobutamine infusion
Without IMS, you could have 3 to 5 different entries, the user would have to select
IMS ordersble and dispensable
IMS creates orderable record and then map it to possible dispensable.
Green dots: orderable meds
Only green dot the orderable. Sometimes you won’t Greendot the orderable to force the provider to order through an order set.
Dispensable
All dispensable items must be on the central medication list, but not green dotted
Do you green dot a dispensable
No
Mixture components
All components of mixture should be on the medication list
