NEW DR.'S ORDERS.....How do the medication orders get to the pharmacy ? - page 3

I work on the most inefficient unit in the country. !!! Or it's me !! Here is my question. I would like to hear how other hospitals are handling this. Forget standing orders. The doctor... Read More

  1. by   RNConnieF
    ALL orders are entered in the puter, no entry, no order, simple. All the MDs know it too. Over 97 % of orders are on the puter.
  2. by   nursnancy
    We take the order sheet out of the chart and fax it to pharmacy. Between 9 and 10 at night, one of the nurses has to take the medcart down to pharmacy to get it re-stocked for the next 24 hrs. If we need meds in between, we get them out of pyxis.
  3. by   kcrnsue
    At the rural hospital where I worked,(now I am in public health), if you were there at night, you are the pharmacist. You take your little key chain and go into the pharmacy and try to figure out where the heck everything is. No pharmacist on call either. Real nice when I ran out of TPN one night. You can see why I no longer work there.
  4. by   meownsmile
    We dont have a pharmacist on duty all night. If we need something the house supervisor is paged to get it at night. Our runners are volunteers during the week and occasionally on weekends, otherwise it is the pharm techs that do it. If its a stat order we have to send someone to get it.
  5. by   passing thru
    If any nursing students are reading this, I wish you'd figure out the most efficient hospital in this batch of posts, and rank all the different ways that pharmacy has of getting meds.

    The doctors entering their own orders has to be the most efficient.

    I am working in the most inefficient hospital. Everything is an obstacle course ....to accomplish anything........I have to run the obstacle course. No such thing as a straight line from Point A to Point B.
  6. by   passing thru
    If any nursing students are reading this, I wish you'd figure out the most efficient hospital in this batch of posts, and rank all the different ways that pharmacy has of getting meds.

    The doctors entering their own orders has to be the most efficient.

    I'm beginning to understand why some hospitals are so great.
    They're efficient. They do not have state-of-the-art equipment in one or two departments, and then still do dr.'s orders, meds, kardexes the same way they were done in the 60's & 70's.

    Where is the nursing leadership and nursing management?

    I'm stuck in a 1973 hospital .............
    I'm in a time warp !!!!
    Ughhh hhhhhhhhhhhhh !!!
    Last edit by passing thru on Jul 8, '03
  7. by   passing thru
    Don't ask me what happened to the 2 above posts.............'

    I'm stuck in a time warp & going to bed !!


    g'Nite !
  8. by   live4today
    I've run to the pharmacy many a day to pick up yet unfilled orders, clarify orders, etc. because the meds aren't arriving fast enough....especially the stat or now orders.
  9. by   nimbex
    fax'em, then you wait, even for stats (i' m in the ICU, can't wait long for stats) some meds we can override in the pyxis and the pharm. eventually enters it in.

    usually, you wait.... wait... call the pharm... "I don't have that order, can you fax it?

    okay, re-fax.... wait.... wait... call the pharm. different person "can y fax the order?" "just did 3 times"

    pharm "well fax it again"....wait.... wait..


    WRITE OUT INCIDENT REPORT ON PHARMACY... several times per shift.... wait..... wait..... nothing comes of it....

    (can you fax that incident report, never got it :-) )
  10. by   sbic56
    Originally posted by Anniekins
    At our hospital, the Dr's enter the med orders into our computer system, and someone from pharmacy brings it and puts it in the patients drawer. It usually is up within the hour. If a med is not there, we go on the computer and press "reorder". This system works really smoothly.

    -Annie
    This is perfect! I imagine it cuts down on errors by cutting out the middle man, as well. Not to menntion placing the respnsibility where it belongs. Really no more work for the doc and much less for the nursing staff. I LOVE it!
  11. by   Liann
    If you are using the pneumatic tube system to get meds, you gotta remember to take the meds OUT of the tube before sending stuff elsewhere. I cant tell you how many times I open a tube to take out micro specimens or put in blood products and find someones MEDICINE in there.....
  12. by   Magicat
    We fax the orders to the pharmacy and then the Tech or pharmacist puts them in the Pyxis during business hours. When a patient is admitted they are automatically in the Pyxis and you override meds and get most medications. If you can't the PCC (Pt. Care Coordinator - aka House Supervisor) can get most of them, if they are in the Pyxis, or go to Pharmacy and retrieve them. SOOOO much better than what we used to do.
  13. by   nitenurse78
    There are carbon copies on the order sheets the yellow copy goes into the pharmacy box. The pharmacy staff usually walk around quite often and pick up the meds. If it is something stat then we'll have to get the med out of the Pixis. If it's not in the pixis we call the pharmacy and may have to bring the yellow copy of the order and walk around the corner and get it. Its only about an 8th of a mile away ...not too far. :-)

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