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Forget trying to get it in as a MIX discussion.  I just tried to get it opened 
as one and I am getting the same answers for the ways to get the information to 
PCI.  They really don't want to hear from the end users and find out that there 
really is an issue that needs to be address here and that they need to have a 
better way to get this information to the doctors.
Brenda Bakaysa, RN
Clinical Applications Support Coordinator
Indiana Regional Medical Center
PO Box 788
Indiana, PA 15701
Phone: 724-463-1002
   Fax:  724-357-7289
Email: [EMAIL PROTECTED] 



-----Original Message-----
From: Marie-Pierre Dionne [mailto:[EMAIL PROTECTED]
Sent: Sunday, February 26, 2006 1:57 AM
To: Brenda Bakaysa; [EMAIL PROTECTED]
Subject: Rép. : [MEDITECH-L] re: NUR documentation pulled to PCI


Hello Brenda,

I do share your pain.  We have built all interventions as Assessments.  If the 
physicians wants to read the nurses or other professionnals documentation they 
need to select an account first...then at least they have the documentation 
pertaining to that account#.  Other then that...meditech did not even give me 
the scenario #3 PCI intering the flowsheet.  But I definitly don't see an MD 
going through all those steps.
Maybe we should start a MIX request and have lots of people submit. Like a 
chain mail thing.


Marie-Pierre Dionne, RN, BScN
Analyste clinique Informatique
IT clinical analyst
Hopital Montfort, Ottawa, On - Canada
(613) 746-4621 Poste 2311
Téléchasseur: 613-715-6646 (Interne 213)
Page: 613-715-6646 (Internal 213)

>>> "Brenda Bakaysa" <[EMAIL PROTECTED]> 2006-02-24 09:33 >>>
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I have a question for you NUR users on how are you getting all of those 
incidental interventions pulled over to PCI for the physician to view the 
documentation ?  If you build a data source and send the CDS you only get the 
last entered documentation so there isn't any trending available and it doesn't 
send the time stamp information either.  Also if you are using shared queries 
on the CDS such as Vital Signs the data source shows up even if the CDS has 
never been filed on the patient and it has information in there because it is 
defaulting in Vital sign data to the CDS for this patient from say your 
admission assessment.  Then another thing Meditech recommended was to build 
every intervention as an assessment.  What is the since of having intervention 
headers for the staff and can you imagine what that would be like to weed 
through to find the documentation you were looking for.  Or another god one 
they gave me was to give the physician the Process Flowsheet function on a m!
 agic key in PCI and they could magic into NUR and see the information in the 
flowsheet.  Well first of all can you see the physician going through that many 
steps to get their information and second the Process Flowsheet works the same 
way as that it will pull information into the section from another filed CDS 
even if the section has not been completed so it is misleading (you know the 
old saying working as designed).  I had submitted a request for a custom for 
the intervention dictionary to ask if the interventions is to be pulled to PCI 
as we are asked for assessments and it was turned down.  If you could share 
with me what you have done with this dilemma I would appreciate it.  The 
interventions we are looking at are things like our Stool Chart, DIS procedure 
documentation, RT documentation and so on.

Brenda Bakaysa, RN
Indiana Regional Medical Center
Indiana, PA 15701
Phone: 724-463-1002
Fax: 724-357-7289

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