EPIC

[jag nurse]

I have an issue with EPIC that I never had with Cerner and would grateful for any help.

1.  I pull all currently due meds from the Pyxis and many times, once I get to the patient's room, and pull up their MAR, there is a medication due that wasn't shown on the Pyxis, so I make multiple trips back and forth.

2.  Sometimes, a medication will show up as being late several hours after it said it was due, and I KNOW it wasn't on the MAR, when I gave out that hour's medications.

Note:  Our med room is not large enough to bring our computers in to double-check MAR to Pyxis.  A second option that I see is to write down every single med for every single patient--something I feel would be very time-consuming and wouldn't help situation #2.

If anyone else has experienced this or knows of a fix, I'd be happy to hear it!  (I have asked other nurses--one said it happens all the time to her as well, and she doesn't have any solutions.)

Thanks.

[jag nurse, RN]

On 9/23/2020 at 7:06 PM, RN-to- BSN said:

Yeah, print the work list and take it to pyxis no need to write down.

I haven't seen a way to print the MAR.  Do you know where it's located?

[BSN-to-MSN, ADN, BSN, RN]

8 hours ago, jag nurse said:

I haven't seen a way to print the MAR.  Do you know where it's located?

Not the MAR. There is a section called "worklist", you can find it on top of the chart next to MAR tab, orders management, flowsheets, chart review, etc. The Worklist has tasks and meds due for the shift. Hope this helps.

[CommunityRNBSN, BSN, RN]

On 9/24/2020 at 8:50 AM, JKL33 said:

Personally I can't help feeling sorry for them. I find the ordering mechanisms tedious and I haven't seen one yet that isn't. This is a bit of a different issue than what we're talking about here, but in one iteration of a popular EMR (at a particular place) for example, the ED providers had a pick list that included all medications used throughout the system; plenty of them not even available at whatever site they happened to be working

100%. I work in an outpatient clinic. When the providers put in med orders, our system makes them scroll through a bunch of options for everything, and it auto-fills random stuff. As a glaring example, some of the meds inexplicably default to Route: Intravenous. These are meds to send to CVS and the patient to pick up and take home— IV isn’t ever a possibility. I spend so much time on the phone with pharmacies sorting it all out. A lot of times, it is the same providers over and over who aren’t being  careful; but the system is also clunky and ridiculously hard to use.