Hi All!

 

So after haranguing the Registration staff to call me when this problem
occurs so I can see what they are doing and look at the error messages
(if any that Meditech may be giving them) so I can do screen prints, get
user names, patient account numbers, trace forensic evidence etc. for
reporting the problem to Meditech, I got called by Registration this
morning to see up close and personal what happens when they attempt to
discharge an Observation patient from Meditech.  

 

Yes, they were selecting the correct routine (Observation Patients) and
they were selecting "Discharge" under the Observation Patients routine.
However Meditech was presenting to the user a Discharge Inpatient data
input screen, not the Discharge Observation Patient data input screen.

 

Digging deep into the Observation Patient menu assigned to the
Registrars, the Discharge Observation Patient routine was a missing O in
the argument.  The argument was "ENDISIN" (pointing to inpatients) when
it should have been "ENDISINO" (pointing to observation patients).

 

Thanks to everyone who responded!  For the benefit of those of you who
have also encountered a similar problem, I have included below the
responses received from other L members below.

 

THANKS Y'ALL,

 

 

Joan M. Smith, MSN, RN-BC

Clinical Project Leader

Doctors Community Hospital

8118 Good Luck Road

Lanham, Maryland  20706

301-552-8867

[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> 

 


 
CONFIDENTIALITY STATEMENT:  This communication, including attachments, is for 
the exclusive use of addressee and may contain proprietary, confidential or 
privileged information. If you are not the intended recipient, you are hereby 
notified that any disclosure, use, copying, dissemination, distribution or 
taking of any action in reliance on the content of this information is strictly 
prohibited. If you are not the intended recipient, please notify the sender 
immediately by return email and delete this communication and destroy all 
copies.  Thank you.



 
________________________________
 


From: Deignan Marianne [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, May 23, 2007 11:31 AM
To: Smith, Joan
Subject: RE: [MEDITECH-L] A Spooky ADM Phenomena

 

Maybe there is a lock because a transaction/order is being processed?

 

________________________________

 

From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] 
Sent: Wednesday, May 23, 2007 9:27 AM
To: Smith, Joan
Subject: Re: [MEDITECH-L] A Spooky ADM Phenomena

 

Joan:  We didn't have this exact problem when we went to 5.6, but we had
a

lot of patient look-up issues.  Meditech installed DTS 4786.  Since
that,

we have not had any issues.

Hope this helps!

________________________________

 

From: DOUG HOGUE [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, May 23, 2007 8:30 AM
To: Smith, Joan
Subject: RE: [MEDITECH-L] A Spooky ADM Phenomena

 

I would check to see if the user is restricted by location. If they are
check to see if the pc has multiple sessions. If so make sure both are
in the appropriate locations. Thanks Doug

 

________________________________

From: Derrick Goode [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, May 23, 2007 8:20 AM
To: Smith, Joan
Subject: RE: [MEDITECH-L] A Spooky ADM Phenomena

 

Check in MIS dictionary page 3 to make sure they are not restricted by
location

 

________________________________

 

From: Kadar, Gary [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, May 23, 2007 7:43 AM
To: Smith, Joan
Subject: RE: [MEDITECH-L] A Spooky ADM Phenomena

 

yes i have seen this when we upgraded to 5.5, it would occur on a
particular terminal at various times, if at that time it  is occuring,
have the user look at their meditech  screen,  there would be no device
name associated with the session only and ip address. for some reason
since there was no id then mis could tell the location and the user
couldnt see their patients, signing out and back in would someitmes fix
it.  if i remember right,  the solution was to upgrade the terminal
software to the newest version, and make sure the device is set up right
in ops. i have looked back at the completed task and no reason was found
for this to  occurred  and it went away as it came,  out of the blue,
typical meditech stuff lol. have the user do a screen print to see what
i am talking about.  gary kadar bluefield regional medical center
bluefield wv.  

 

 

 

________________________________

From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Smith, Joan
Sent: Tuesday, May 22, 2007 1:41 PM
To: meditech-l@MTUsers.com
Cc: Dunphy, Jennifer; Washington, Charlotte
Subject: [MEDITECH-L] A Spooky ADM Phenomena

 

Okay ADM gurus, here is the story:

 

We are a Meditech Magic 5.6 facility.  Every so often (about once a
week) when the Registration staff attempts to discharge an Observation
patient (from the bed in which the patient spent the night) they tell me
they go to the Discharge option under the Observation Patient Routines
and either enter the account number for the patient or search for the
patient by name.  Meditech however does not allow the Registrar to
select the patient from the list that appears (no number in fron of the
name.)

 

So IT gets called.  I then log on to Meditech and discharge the
Observation patient without any problem.  I keep asking them if they are
using the Discharge option under the Observation Patient Routines, and
they assure me they are.  I ask them to call me when this happens (I'll
believe it when I see it).  Today I got the call and before I got over
there the manager was suddenly able to discharge the patient.  

 

Has anyone else out there seen this?  Is there a DTS we missed with the
5.6 upgrade?  (It would not be the first.)  

 

Thank you in advance for your assistance.

 

Joan M. Smith, MSN, RN-BC

Clinical Project Leader

Doctors Community Hospital

8118 Good Luck Road

Lanham, Maryland  20706

301-552-8867

[EMAIL PROTECTED]

 

 

CONFIDENTIALITY STATEMENT:  This communication, including attachments,
is for the exclusive use of addressee and may contain proprietary,
confidential or privileged information. If you are not the intended
recipient, you are hereby notified that any disclosure, use, copying,
dissemination, distribution or taking of any action in reliance on the
content of this information is strictly prohibited. If you are not the
intended recipient, please notify the sender immediately by return email
and delete this communication and destroy all copies.  Thank you.
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