Pharmacy Things to Know: Difference between revisions

From Guide to YKHC Medical Practices

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Do NOT use "per CHAM" during health aide visits.  Enter the chart and order every medication on the PowerPlan proposed by the Health Aide unless mailing/hand carry from YKHC Main Pharmacy.
Do NOT use "per CHAM" during health aide visits.  Enter the chart and order every medication on the PowerPlan proposed by the Health Aide unless mailing/hand carry from YKHC Main Pharmacy.


When giving IM medications to children over RMT, verify concentration of the medication they have and give the Health Aide the number of mg and mL you want them to give, especially for morphine and benzos.  When writing instructions in the RMT addendum, put the mg and mL amount first, then in parentheses the mg/kg.
When giving IM medications to children over RMT, verify concentration of the medication they have and give the Health Aide the number of mg and mL you want them to give, especially for morphine and benzos.  When writing instructions in the RMT addendum, put the mg and mL amount first, then in parentheses the mg/kg. If you put the mg/kg first, the Health Aide may accidentally misinterpret this as the dose (e.g. Dexamethasone vial 10mg/1mL 7mg or 0.7mL (0.6mg/kg) rather than Dexamethasone vial 10mg/1mL 0.6mg/kg (7mg or 0.7mL).  '''ALWAYS VERIFY THE CONCENTRATION!'''





Revision as of 22:42, 10 November 2020

How to find magic mouthwash: You can search magic mouthwash under Diphenhyd – you may wish to spell out what he individual compound and the options ie with or without lidocane (villages only have it without lidocaine). Other ways to find it are to search for “FIRST” (the brand name) or “BLM” (the components Benadryl/lidocaine/maalox)

Thick it order—How to get more for family: Send a message to the case manager, who will give you the Certificate of Medical Necessity already filled out. If not available that day, find an experienced pediatrician to locate one for you.

Loratidine use: Loratadine is for children under 18 or elders over 65 only. The only indications are allergic rhinitis or chronic urticarial

Always use 10 days of antibiotics for all peds patients. This will keep therapy standardized with less chance of mistakes. It also follows the CHAM protocols.

On Presciptions, always order one time medications as "As Indicated" not "Once." (for example, epipens and Diastat.) If you order it "once," it is no longer an active medication, it will not show on patient discharge information and future providers will not be able to re-order. Any refills placed on "once" orders are not valid or active, thus will not be seen in pharmacy. If in the ED, the medication cannot be pulled from PickPoint for discharge meds.

Acute vs Maintenance: Discharge medications default to "Maintenance." All antibiotics and short term medications should be ordered as "acute." This will allow "acute" medications to "fall off" of the medication list once the course is complete.

You can click on "Retail Pharmacy" in the the Electronic Health Record side menu to see if any medication refills exist and the last time it was refilled.

Do NOT use "per CHAM" during health aide visits. Enter the chart and order every medication on the PowerPlan proposed by the Health Aide unless mailing/hand carry from YKHC Main Pharmacy.

When giving IM medications to children over RMT, verify concentration of the medication they have and give the Health Aide the number of mg and mL you want them to give, especially for morphine and benzos. When writing instructions in the RMT addendum, put the mg and mL amount first, then in parentheses the mg/kg. If you put the mg/kg first, the Health Aide may accidentally misinterpret this as the dose (e.g. Dexamethasone vial 10mg/1mL 7mg or 0.7mL (0.6mg/kg) rather than Dexamethasone vial 10mg/1mL 0.6mg/kg (7mg or 0.7mL). ALWAYS VERIFY THE CONCENTRATION!


How to remove an allergy banner on YKHC Electronic Health Record

  • Click the allergy on the banner bar.
  • Select the allergy and click Modify.
  • Change the status from “active” to “cancelled.” In the next box, choose a reason like “OK on retrial.”
  • Click Apply and Okay.
  • Done!

category:Pediatrics