Managing your med list with checkmarks and red dots

Question 1

What are the three columns in your medication list?

Answer 1

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.

Question 2

What does a yellow dot mean

Answer 2

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.

Question 3

Do not use the yellow dot in these 2 situations

Answer 3

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

Question 4

Yellow dot and dispense

Answer 4

Yellow dot does not change the dose amount will not force the dose to be rounded to the nearest vial size

Question 5

Yellow dot do not use

Answer 5

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

Question 6

Yellow dot example

Answer 6

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.

Question 7

Green dot

Answer 7

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.

Question 8

What is IMS in EPIC?

Answer 8

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.

Question 9

Central pharmacy med list

Answer 9

all strengths that you stock on the central pharmacy med list, and select the NDC of each medication.

Question 10

Central pharmacy med list, Greendot

Answer 10

Clear the green dot from all, but the smallest commercially available strength

Question 11

Formulary med list

Answer 11

Add all strengths even ones that you do not stock

Question 12

Why only green dot 1 strength?

Answer 12

Green dot only the smallest commercial available strength. This makes it appear in the facility. Preference list once.

Question 13

Formulary med list why add strengths you don’t carry

Answer 13

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.

Question 14

Green dotting infusions

Answer 14

Be careful, green dotting infusions

Question 15

How the formula is different

Answer 15

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

Question 16

IMS and IV products and drips

Answer 16

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

Question 17

With IMS you will get a single entry displayed i.e dobutamine infusion

Answer 17

Without IMS, you could have 3 to 5 different entries, the user would have to select

Question 18

IMS ordersble and dispensable

Answer 18

IMS creates orderable record and then map it to possible dispensable.

Question 19

Green dots: orderable meds

Answer 19

Only green dot the orderable. Sometimes you won’t Greendot the orderable to force the provider to order through an order set.

Question 20

Dispensable

Answer 20

All dispensable items must be on the central medication list, but not green dotted

Question 21

Do you green dot a dispensable

Answer 21

No

Question 22

Mixture components

Answer 22

All components of mixture should be on the medication list