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01/31/2017 BG -- DOB/MRN to stop being added to labels/sheets - BEGINS WEDNESDAY
From: Becky Ginn
Sent: Tuesday, January 31, 2017 6:42 PM
To: Pharmacy
Subject: DOB/MRN to stop being added to labels/sheets - BEGINS WEDNESDAY
Importance: High
On February 1, 2017 HH Main, PSP, HHWC, and Madison Hospital pharmacies will stop manually adding date of birth (DOB) and/or medical record number (MRN) to pharmacy-generated, patient-specific labels/sheets (i.e. C2Safe sheets). MILT templates will be changed during the day on Wednesday to accommodate this change.
This will include:
- MILT labels
- Pyxis C2Safe transaction sheets
- Carousel "Manual Pick" labels
- DYMO labels
- iCare "free form" labels
- Baxter ABACUS TPN labels
Labels that WILL continue to have DOB and/or MRN printed:
- iCare labels
- PharmacyKeeper labels (The DOB is auto-populated via an interface from iCare)
IMPORTANT NOTE: C2Safe records for patient-specific doses should have a sheet stapled to them that can identify the patient if needed to investigate discrepancies.....If there is no identifying sheet, please write the patients MRN onto the signature sheet that the pharmacy retains!
The reasons for this change:
1. Pharmacy-generated labels/sheets are intended to only provide a "delivery address".
2. Nursing policy does not allow a pharmacy-generated label to be used as a primary source for the required 2 patient identifiers. We do not want to foster this practice by adding DOB and/or MRN.
3. Manually adding DOB or MRN is an error-prone process that can have unintended consequences.
**NOTE: It is not against policy to add DOB and/or MRN to our labels/sheets. There may be clinical situations in which a pharmacist feels it is best practice to add DOB or MRN. If you choose to add DOB/MRN, make sure it is accurate as errors may lead to a QRR in which violation of the 2 patient identifier policy will have to be defended.
If you have a nurse who questions the DOB/MRN missing from a label, you may 'educate' him/her on the nursing policy that states only iCare or the physician's order sheet are to be used to confirm the medication before administration.
If you have questions about this, please refer them to your supervisor or manager.
--
Becky Ginn, Pharm.D.
Huntsville Hospital
Pharmacy Manager - Central Operations