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My apologies...this was intended to be forwarded, not replied. Sorry for wasting bandwidth! Wendy -----Original Message----- From: Walecka, Wendy Sent: Thursday, March 23, 2006 2:18 PM To: _AHS Doc Team-Nursing Informatics Subject: FW: [MEDITECH-L] Dilaudid PCA/eMAR questions Got one response from my post! Please see below...maybe it will help! Wendy -----Original Message----- From: Patti Lawing [mailto:[EMAIL PROTECTED] Sent: Thursday, March 23, 2006 1:30 PM To: 'Walecka, Wendy' Subject: RE: [MEDITECH-L] Dilaudid PCA/eMAR questions Wendy, We have been live with BMV since June 05. I will attempt to answer some of your questions. One time orders are entered at ONE TIME and our Sort is set so that "NEXT ADMIN" is always first, that way they stay on top until documented against. They should stay on SB until documented against as well For IV Rates, we are still doing that on paper, however that will change this June. For changing rates due to titration, we use the ED feature and have CDS's attached for this. We also have a PCA flow sheet that they use to document rate/dose changes. They scan each time they set up a new syringe. We don't have pixis, but we do have Omnicell and there have been problems. When a nurse takes a med from our ED Omnicell, it enters it onto the eMAR via interface, it charges as well. The way this shows up on eMAR is as if not given because it has only been entered on the eMAR, not documented against. To get these meds to move down the list, the Inpatient nurse has to document against them, saying "as charged in ED." Or they can ignore them however they will stay on top since the system thinks they haven't been given since they haven't been documented against. Please feel free to contact me anytime for questions. Thanks, Patti -----Original Message----- From: Walecka, Wendy [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 21, 2006 4:32 PM To: 'Bill Bowen'; Claudia Dawe Cc: [email protected] Subject: RE: [MEDITECH-L] Dilaudid PCA/eMAR questions All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Hello fellow listers, We are in the process of setting up our eMAR for BMV. We have some issues that we are wondering others have done to address them: One-time orders: How to flag they should be given (give at say 0730 so it displays at the top, active until midnight?); how long do they stay on the status board (currently set up for 8 hrs. pre/12 hrs post); how is it entered (currently pharmacy is entering it and it dc's one minute after); how do you address meds on stand-by? What about being able to document on the OTO after it had been given? We had been able to do that in TEST. IV rates: How are rate changes documented if the bag is not due to be changed? How do you chart titration of drugs, PCA dose changes when the vial/syringe is not due to be changed? Pyxsis: How do you address potential safety issues regarding meds taken from pyxsis for immediate dosing, later entered into pharmacy, resulting in duplicate entries. We have many other questions as well. I'm sure others would appreciate postings to the list, but feel free to contact me off-list as well Thanks for your time! Wendy Walecka, MS, RN Sr. Clinical Systems Analyst Affinity Health System Appleton, WI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Bill Bowen Sent: Friday, March 17, 2006 8:48 AM To: Claudia Dawe Cc: [email protected] Subject: RE: [MEDITECH-L] Dilaudid PCA All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
