Lidocaine

[ngmc11]

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For ER orders, the prescribers don't want to include a route in their lidocaine 1% or lidocaine 1% with epi order. The ED director claims that most of the use is subcutaneous route.
I've asked them to at least put the route and that it will be administered by MD/PA.
The pharmacy director told them that she is going to get a policy to assume subcutaneous unless otherwise specified.
Any other hospitals doing this already?

 

[BidingMyTime]

Doesn't JACHO require a route in the orders? A written policy would cover it, BUT if given any other route, the ER would still have to write an order for it, since its not on their policy.

 

[Sparda29]

We have ******* prescribers here who still use "qd" instead of daily. Don't they know the JCAHO rules?

 

[ngmc11]

Since this is such a burden for them to correct their orders.... That's why the director is making a policy for them.

 

[Farmercyst]

Since this is such a burden for them to correct their orders.... That's why the director is making a policy for them.

If they did it right the 1st time, it wouldn't require corrections.

 

[Pharmacy Kid]

How hard can it be to put a route in your orders?

 

[Its Z]

For ER orders, the prescribers don't want to include a route in their lidocaine 1% or lidocaine 1% with epi order. The ED director claims that most of the use is subcutaneous route.
I've asked them to at least put the route and that it will be administered by MD/PA.
The pharmacy director told them that she is going to get a policy to assume subcutaneous unless otherwise specified.
Any other hospitals doing this already?

Complete medication order requires a route administration. Without it, pharmacy should not process the order. Your medication management policy describes what's considered a complete medication order.

Your director is the biggest idiot if she actually writes a policy to assume a route of administration.

Go talk to your risk dept. This is a major regulatoy No No.

 

[ngmc11]

They've also already made policies on assuming PRN indications for medications. That way the MD does not have to write out the PRN indication as well.. That's what I heard from the nurse who does the telephone orders.

 

[spacecowgirl]

CPOE will solve a lot of these problems. Not nearly all of them but at least you have a route.

 

[ngmc11]

That's like 2 years...

 

[smercer]

Seems to me that the problem is with your director. If they are willing to bend over backwards for them on every issue, then the pharmacy/pharmacists will be walked all over.