Your welcome, I have not tried this, just say it on their web site.

 

Good Luck,

 

________________________________

From: Kimberly Frick [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, May 29, 2007 7:59 AM
To: Bill Mullins; Horsley, Randi - CRH; meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

 

Thanks, Bill. When I asked my Meditech BMV consultant if there was any
way to flag a prn as too soon, he said no. I'll request this DTS. 

 


Kim Frick, RN 
Project Coordinator 
Licking Memorial Health Systems 
Phone: 740-348-4114 
Fax: 740-348-4769 
[EMAIL PROTECTED] 
www.LMHealth.org 
  

        -----Original Message-----
        From: Bill Mullins [mailto:[EMAIL PROTECTED]
        Sent: Friday, May 25, 2007 7:14 PM
        To: Kimberly Frick; Horsley, Randi - CRH; meditech-l@MTUsers.com
        Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

Article ID: 26372
Date: 12/19/2006
Published: 1/31/2007

Application: PHA
Subject: Rules and Attributes
Platform: MAGIC

        eMAR Rules: Flag for PRN too soon from last dose

PHA DTS 6369 gives the ability to create eMAR rules that can be
evaluated for MAR DOSE and MAR ADMIN.

Many sites would like to create a rule to flag nusing users if they give
a PRN medication too close to the last dose given.  The following is an
example of a MAR ADMIN rule that will flag users if they try to give a
medication with the direction of PRN/Q4H more then once within 4 hours
from the other dose:

Direction: PRN/Q4H

Rule: 

 [f z last admin],[f z today/now in sec]^NOW,
 NOW-ADMINSEC^TS,
 "It has not been 2 hrs since this med was last administered"^MSG,
 IF{([f rx sig]="PRN/Q4H")&(TS<7200) [f rx err msg](MSG);1};

Below is the information on how to build the custom keywods "z last
admin" and "z today/now in sec"  :

 z last admin
Active: Y   Assign to Group: Z
Name: last administration time
Multiple Output Lines?: N
Execute at Translation?: N

Code:
""^END,
DO{(@Last(admin.q)^admin.q)&(END_.=.) @admin.seconds^ADMINSEC,1^END}

z today/now in sec
Active: Y   Assign to Group: Z
Name: today/now in seconds
Multiple Output Lines?: N
Execute at Translation?: N

Code:
%Z.date.clinical(@.today)*86400+%Z.time.in(@.now)

         

         

        
________________________________


        From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On
Behalf Of Kimberly Frick
        Sent: Friday, May 25, 2007 7:32 AM
        To: Horsley, Randi - CRH; meditech-l@MTUsers.com
        Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time
variances

         

        Yes, this was an issue for us too. We had to really explain the
message in training because our users found it confusing. Our previous
barcoded medication administration system had separate parameters to
warn the user if a med was too early or too late. The warning message
stated "too early" or "too late". We could even set a prn parameter that
warned if the med was "too close". I would like to see Meditech change
their time variance to separate customer-defined parameters like we had
with our other system.

         

        
        Kim Frick, RN 
        Project Coordinator 
        Licking Memorial Health Systems 
        Phone: 740-348-4114 
        Fax: 740-348-4769 
        [EMAIL PROTECTED] 
        www.LMHealth.org 
          

                -----Original Message-----
                From: meditech-l@MTUsers.com
[mailto:[EMAIL PROTECTED] Behalf Of Horsley, Randi - CRH
                Sent: Thursday, May 24, 2007 10:52 AM
                To: meditech-l@MTUsers.com
                Subject: [MEDITECH-L] Issues with new eMAR verbiage re:
time variances

                Dear L'rs - We recently upgraded to 5.6 and are
experiencing a great deal of confusion with the verbiage Meditech chose
to display related to time variance warnings. In short, the wording
makes many of our staff think they are choosing a time ahead (when it is
really late) and vice verse, unless they really read and analyze the
message. 

                Anyone else encountering issues with this with their
end-users? We are considering asking Meditech for a custom if that is
the only way to resolve, but would love to hear from other sites about
their experience. TIA!

                Randi L. Horsley, MSN, RN 
                Project Manager, Clinical Informatics 
                CHW AZ - East Valley market 
                475 S. Dobson Rd. 
                Chandler, Arizona 85224 
                480-728-3757 office, 602-656-1225 pager 

        
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