This is the biggest challenge we've encountered in Meditech, and I think
other hospitals will agree.  We started out in 1998 torturing our nurses to
attempt to complete this task in the units.  We did it for almost 2 years
but finally felt that at the time, the technology wasn't out there to help
this process so we kept a revised paper flowsheet where vitals, hourly I/O's
and drips were kept, among a couple of other items I think.  Staff were
responsible for still inputting q4 VS and end of shift I/O into the computer
to keep the integrity of the on-line record for when the patient transferred
to/from other depts where everything was on-line.  Now with the Iatrics
Visual Flowsheet and even Meditechs improved, albeit primitive compared to
Iatrics, flowsheet, the ICU challenges are much more easily addressed.
However without bedside computers in every room, we have decided to keep
with a modified paper flowsheet until we get computers in each ICU bed.
Another strong recommendation would be a monitor interface for dumping the
data into Meditech, but I feel you can do it without the interface as long
as other conditions are met.   Good luck!

-----Original Message-----
From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] Behalf Of
Mueller, Madge
Sent: Thursday, February 15, 2007 6:28 AM
To: meditech-l@mtusers.com
Subject: [MEDITECH-L] Frequent Vital Signs and IV Titrations in ICU



We are planning a May implementation of NUR documentation.  Our ICU units
feel there is no way they can document their Q5-15 minute Vital Signs or
their drip titrations online.  They want to keep these items on paper.  With
the titrations they don't feel they can see trending with the system.  We
are Magic 5.5 SR2 and plan to use the process flowsheet routine in Meditech.
Anyone have any suggestions or things you do to assist in this process or
just leave on paper?

Thanks,

Madge

 


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