See my responses below:

Daniel Davis

-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf
Of Denise Summerford
Sent: Thursday, June 14, 2007 1:02 PM
To: meditech-l@MTUsers.com
Subject: [MEDITECH-L] Nursing documentation: skin/wound, post op vitals

A few questions about how others are doing nursing documentation:
(MAGIC,
5.5 sr3)

SKIN
For skin conditions (rash, redness etc) and/or wounds, how are you
charting
multiple sites?  Do you put multiple sets of queries on one screen?  Do
you
add "wound care" interventions multiple times and document on each one
separately?  Any other creative ideas out there?
---> You do not gain anything by having the same intervention with the
same queries several times on the same patient.  Most all of your print
profiles, etc will see it all as the same source and it will be hard to
keep it straight later.

POP-UPs
Are you using pop-ups in your screens?  I have been advised not to do
this
as there are problems with this method in future releases.
---> While it is true that there can be some problems in some situations
with the code used to "pop up" another screen, that can be true of
nearly anything where you do some forward thinking "third-party"
programming.  The secret to working in software where you have some
capability of tailoring how it works to your specifications is that you
always have to check out those issues with new releases and fixes to
ensure that they still work as designed.  And if not, see what you need
to do to fix it.  So, you should work within your comfort level, but
remember that you have the "L" to assist you in finding out solutions
and workarounds when upgrades in the software make something not work as
you planned.  If you are going to successfully make Meditech work well
for your staff you will likely have much in the way of attributes and
NPR reports that may need maintenance from time-to-time.  That is simply
the nature of the beast.  We never address a problem and then are able
to forget about it.  Job security.

POST-OP VITALS
Do you have one screen that has VS, dressing, CMSTP, etc?  Or do you
have
separate interventions for VS, dressing, CMSTP, and you document on each
intervention separately?
---> This decision rests partly on how each design impacts your users
work flow, and partly on how you intend to print/archive the data
collected.  Some methods of printing in Print Profile and Audit formats
will pull the documentation done on other screens with the same queries
into the screen you reference.  So, you need to look at the big picture
from beginning to end in order to decide the best way to design your
documentation.  But, generally, one query for one bit of data is a good
foundation.  Meaning, you shouldn't have multiple vital signs queries -
but just one for temp, one for height, etc.

Any help appreciated,
Denise Summerford


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