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Hi Kathryn et al.,
We are also C/S 5.5.1 in LIVE and SR2 in TEST.  These are also issues that we 
have discussed with MEDITECH.  It is my understanding that the PCS Group is 
already in the process of looking at the Next Scheduled issue specifically at 
our request.  (I have just checked with my partner and she remembers hearing 
that as well).  As for the Next Page issue, we haven't heard as much about that 
here but the use of the eMAR is very limited at this time in our facility.

We currently have an open task with MT about the Next Scheduled issue and I 
have requested an update. Will let you know what I hear.

Happy Friday.
Teri

Teri R. Young-Hise, RN,C
Clinical Systems Analyst
Northeast Health
Rockport, ME 
(207) 596-8217
[EMAIL PROTECTED]


>>> "Kathryn Wohnoutka" <[EMAIL PROTECTED]> 03/16/06 11:45AM >>>
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We are in discussion with our Update Specialists regarding several eMAR issues 
for 5.5.2.  They are interested in knowing if other sites share our views on 
the following:
 
1)  Next Scheduled Column not updating in response to manually changing the 
schedule if there are missed doses.   We believe this has great potential for  
medication errors, especially possible double dosing.
 
--5.4.2, if there is a missed dose, the user can update the schedule, document 
their administration and the schedule will remain updated.  The entry will 
continue to display at the top of the MAR regardless if it's Next Scheduled.  
 
--5.5.2 if there is a missed dose, the user can update the schedule, document 
their administration and the schedule will not remain updated, but revert to a 
schedule that includes the missed dose, displays in red, and is at the top of 
the MAR until the missed dose(s) are addressed.  
 
We would like to have the Schedule remain updated and display in relation to 
Next Scheduled and not at the top as an overdue.  I would also like to suggest 
a display message like the ACK or UNV if there are missed doses as a visual 
clue instead of having it affect the order of display. The eMAR Exception 
report shows missed doses.  
 
2)  Next Page Invoked with Scroll Bar-Display Order
 
--5.5.2, "Next Page" is being invoked with fewer MAR entries (approx. 20 
entries will trigger) so the user will see a scroll bar with "Next Page" on 
various patients/residents.  The display will be as  follows:  
First-->overdue for administration
Second-->next scheduled administration
Third-->no scheduled administration 
Fourth-->by route of administration alphabetically
Fifth-->by medication name within each route
Sixth-->CANCELLED status
Seventh-->DISCONTINUED status
Eighth-->PRN (as needed)
             
We believe this could result in missed doses and delays in med administration.  
We would like to have PRNs display above CANCELLED AND DISCONTINUED statuses 
and  "Next Page" should not invoke for ACTIVE status medications.
 
 
Please respond with your comments and your site information.  I will be 
forwarding your responses to our PCS Update Specialist Shawn.
 
Thank you in advance for your responses,
Katie


Kathryn Wohnoutka
PCS/EDM Applications IS Specialist
Citizens Memorial Healthcare
1500 N. Oakland
Bolivar, Missouri   65613
phone:  417-328-6609
fax:  417-777-7157
pager:  800-801-2988
[EMAIL PROTECTED] 



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