Thanks, I understand about them wanting the system to sing and dance for them. I just want them (nurses) to at least stand up before we dance.
The more we do for them, the less they think. It really scares me sometimes. To be honest though, I had a minor outpt procedure recently at my own facility and I was very pleased with my nursing care and with all depts.. So as much bad documentation and other issues I see daily, the patient care seems to still be there? ________________________________ From: Janet Austin [mailto:[EMAIL PROTECTED] Sent: Thursday, May 31, 2007 1:16 PM To: Bill Mullins Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time variances It must be because I could not find anywhere in the pharmacy or nursing dictionaries where a rule could be built and attached to the eMAR. We do strugle with this issue but I think the nurses have gotten used to looking at the last admin time before even pulling the med from pyxis. They can also see the last admin time in pyxis. But you know with all the technology they expect the system to sing and dance for them and catch every single mistake so they do not have to do the leg work. Oh well, I think I will let this one lay low and not push the issue until we upgrade. -----Original Message----- From: Bill Mullins [mailto:[EMAIL PROTECTED] Sent: Thursday, May 31, 2007 12:19 PM To: Janet Austin Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time variances Thanks, is this DTS required to attach rules to EMAR? I think you could do something similar now with a cds attached to the PRN MEDS and looking at the last time the meds as administered and the sig to see if you could give the PRN again. We are not LIVE with EMAR/BMV yet, but I have worked with it years ago... ________________________________ From: Janet Austin [mailto:[EMAIL PROTECTED] Sent: Thursday, May 31, 2007 12:02 PM To: Bill Mullins Subject: RE: [MEDITECH-L] Issues with new eMAR verbiage re: time variances Bill, they will need to wait until they upgrade to service release 5.6 SRO to recieve this DTS. -----Original Message----- From: meditech-l@mtusers.com [mailto:[EMAIL PROTECTED] Behalf Of Bill Mullins Sent: Friday, May 25, 2007 6:14 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 ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. This footnote also confirms that this email message has been swept by Sophos and MIMEsweeper for the presence of computer viruses. **********************************************************************
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