[nyschp.dop] Re: Fw: Fwd: Override review policy

From: "Hurney, Gerianne" <ghurney@xxxxxxxxxxxxxxxxxxxxxxx>
To: "nyschp.dop@xxxxxxxxxxxxx" <nyschp.dop@xxxxxxxxxxxxx>
Date: Tue, 20 Feb 2018 14:01:51 +0000

We allow overrides for STAT and Emergent situations and have a Stat and
emergent list for each floor. The Stat and Emergent list was approved by P&T
and is reviewed regularly ( at least yearly).  Also, an override is allowed
when Pharmacy is closed but only the Supervisor has that authority ( we use a
user template in Pyxis) this also requires a second licensed practioner to
review the new medication order.
We review the Pyxis overrides on a weekly basis. We chose to review controlled
substances:

·         A Pyxis generated report will be sent via email on a weekly basis for
nursing to review overridden medications taken from their unit Pyxis. Reports
will be reviewed for the following:
-          Overrides for ALL Controlled medications
-          All orders MUST have a valid order and any waste must be documented
with a witness.
I hope this helps.
Gerianne
PS if you think we are missing something, please let me know ☺- thank you.

Gerianne Hurney
Assistant Director of Pharmacy
Stony Brook Southampton Hospital
240 Meeting House Lane, Southampton, NY 11968
Phone: (631) 726-8244   Fax: (631) 726-8806
southampton.stonybrookmedicine.edu<https://southampton.stonybrookmedicine.edu/>

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From: nyschp.dop-bounce@xxxxxxxxxxxxx [mailto:nyschp.dop-bounce@xxxxxxxxxxxxx] ;
On Behalf Of Sudha Swamy
Sent: Friday, February 16, 2018 2:14 PM
To: nyschp.dop@xxxxxxxxxxxxx
Subject: [nyschp.dop] Fw: Fwd: Override review policy

Hello,
We have a member asking:

As per TJC, as of January 2018,  pharmacy needs to have a policy addressing
pharmacy review of medication  overrides. How often are other hospitals are
reviewing medications overrides? Is it monthly, quarterly, etc? Are any
hospitals that have an override policy willing to share?

Thank you in advance for your response.

Sincerely,

Sudha

--

Sudha Narayanaswamy, PharmD, BCPP, BCGP, DPLA
Senior Vice President, Division of Pharmacy Practice
Acurity, Inc.
o: 212-258-5376 | c: 347-501-1770 | f: 212-541-9032 | E-mail:
sswamy@xxxxxxxxxxx<mailto:sswamy@xxxxxxxxxxx>
Website:
www.acurity.com<http://securemail.southamptonhospital.org:32224/?dmVyPTEuMDAxJiYxNjk4NzEwZTMxZWI5OGFjYj01QTg3MzJBNF81NTgzNF8xMDI3MV80JiZhMWNkNDg5MzI2ZjU1ZDE9MTIyMyYmdXJsPWh0dHAlM0ElMkYlMkZ3d3clMkVhY3VyaXR5JTJFY29t>

References:
- [nyschp.dop] Fw: Fwd: Override review policy
  - From: Sudha Swamy

[nyschp.dop] Re: Fw: Fwd: Override review policy

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