Good Morning, We have seen the same issue (we are currently 5.5 SR2). We are loading SR4 to LIVE today (cross fingers please), and there is code included in that release that fixes this.
We use the POM Order Sheet for provider entered orders only and have these set to print to Pharmacy as well. We have put essentially the same plans into place that Cathy has outlined. Not perfect but working. Have a good day. Teri >>> "Cathy Dwyer" <[EMAIL PROTECTED]> 5/16/2007 2:09 PM >>> We have a ticket open with Meditech because the column does not seem to refresh properly. Looks fine in test, not in LIVE. Nurses will ACK orders, but the ACK never leaves the column. Cathy >>> "Debi Heuerman" <[EMAIL PROTECTED]> 05/16/07 1:08 PM >>> What sort of issues are you having with ACK? We want to start using it when we go live June 20. We are updating to 5.54 SR6 + Priority Pack 7 and 8. We use PCS, OE, POM, and CPOE. Debi Heuerman, R.N. Clinical Application Specialist Information Systems Sarah Bush Lincoln Health Center 217-258/348-4100 [EMAIL PROTECTED] -----Original Message----- From: Cathy Dwyer [mailto:[EMAIL PROTECTED] Sent: Wednesday, May 16, 2007 11:53 AM To: meditech-l@MTUsers.com; [EMAIL PROTECTED]; Laura Wilson Subject: Re: [MEDITECH-L] POM/CPOE Processes (Resending....sorry for the prior PGP problems!!!) Hi there! I have answered the questions to the best of my ability. We are C/S, live with non-med POM since 2002, eMAR and med POM since May 2004. I hope this helps. How do your nurses know when a physician has placed an order? Have you built some sort of alerts? Status board? Other method? - the Nursing staff is using their status board to see when there are new or changed orders as well as next medication times. We are using the ACK for orders (sort of - have some issues with that at the moment that Meditech is working on) and on the MAR also. Part of training was to continuously refresh and check their orders and order history. As for printing - we do print the order sheet for UMACs so that it can be sent with the specimen. We print orders for RAD, PT, OT to the proper areas automatically. Stat orders get placed and it is still routine for the physician to verbalize the placing of a stat to the nursing staff. There is no back up for that, and it ensures we don't miss anything. Are you still printing Lab results and Radiology reports to the nursing units? We do not print Lab results. They get interfaced into our system from our outside lab vendor. The physicians will see the new results panel lit up when they log into the EMR, or the Lab/Mic panels lit up when they are in a patient. Nursing will see new results highlighted on their status board also for that patient. Our lab still calls back criticals to the nursing unit as part of procedure and the nurse is responsible for letting the doctor know quickly. We do not print RAD results to the physicians or nursing either. Our RAD department will transcribe results into the NOTES section of the EMR, and the docs have been trained to look there for free text nursing and radiology results when the panel is lit up. If you are how are you handling this problem? (We are printing the orders from POM when a physician places the orders. These become mixed in a huge stack of orders, results and reports, and orders are being missed. Then physicians are being called again because the nurse doesn't realize that the order has already been placed. Thus, the physicians are getting angry.) Cathy >>> "Laura Wilson" <[EMAIL PROTECTED]> 05/15/07 4:03 PM >>> We are struggling with POM trying to bring it live. We have a small group of physicians who are working with us (Information Systems) to work through issues and streamline processes. We have some questions for those of you who are finding success with this implementation. How do your nurses know when a physician has placed an order? Have you built some sort of alerts? Status board? Other method? Are you still printing Lab results and Radiology reports to the nursing units? If you are how are you handling this problem? (We are printing the orders from POM when a physician places the orders. These become mixed in a huge stack of orders, results and reports, and orders are being missed. Then physicians are being called again because the nurse doesn't realize that the order has already been placed. Thus, the physicians are getting angry.) Any feedback, ideas, assistance will be greatly appreciated! Thank you, Laura Wilson Tanner Medical Center -------------------------------------------------------------------------------------------------------------------- This e-mail and any files or attachments transmitted with it contain information that is confidential and privileged. 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