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We are scheduled to get a custom fix in for the Next Scheduled column to
our test ring this week.  As soon as we get it and check it out, I'll
put up the details.  Then you should be able to request it from your
specialists.  
Cathy

Lead Programmer/Analyst
Burke Rehabilitation Hospital
(914) 597 - 2215


>>> "Teri Young-Hise" <[EMAIL PROTECTED]> 3/17/2006 1:34:36 PM >>>
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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
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