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Hi Claudia,

I found this "New Parameter" interesting!  When we built NUR, we didn't define 
different CDS's for different locations because it would create the problem 
that, for example, once a patient were transferred from the Medical Unit to 
ICU, the "Physical Assessment" intervention would pull the ICU Assessment 
instead of the one that the Medical Unit uses.  So if the Medical Unit RN 
needed to complete documentation after the patient were transferred, she would 
be unable to access the appropriate CDS.

Is this still an issue if using the new parameter?  Have you found a way around 
this... or have you done like we did and simply built separate interventions if 
different CDS's are used?

Thanks,
Kenny Whiteside


Kenny Whiteside RN, BSN
Patient Care Information Systems
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
[EMAIL PROTECTED]



>>> "Claudia Dawe" <[EMAIL PROTECTED]> 03/31/2006 9:31:55 AM >>>
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Hi Mark,
We also made the same change.  We use the temporary location function in OE
to give temporary access to the prior unit.  It is available on the admin
data screen or a separate routine that can be added to menus.  The prior
unit calls ICU and requests they temp locate to their floor.  When they are
done with their documentation, the requestor is responsible for removing the
temp location.

In 5.5 there is a new parameter Access Prev Pt Location ___ Hrs after Xfer
that addresses this issue.  See ADM 3748

Claudia Dawe, RN
Clinical Analyst
Pennock Health Services
269.945.3451 x 598

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
On Behalf Of Mark Johnson
Sent: Thursday, March 30, 2006 12:33 PM
To: Meditech-L (E-mail)
Subject: [MEDITECH-L] Restrict By Location

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We are a Magic 5.4 SR3 site.

We recently changed our MIS user dictionary page 3 for most inpatient
nursing staff to restrict by location of the machine.  This has also
presented a problem for transfers to the ICU following a code or change
in condition.  I have been tasked with finding out if there is any
workaround for documentation after a patient has transferred to another
location.  Currently, the nurse from the prior unit has to go to ICU to
document on the patient once they have transferred over to ICU.  

Any help or suggestions are appreciated.  We have no intentions of
changing the MIS dictionary setup back to not restricting by location.
Just wanted to see if anyone else has had to deal with this issue and if
you have anything in place that might help.

Thanks.


Mark  H. Johnson,  RN,C   MHA
Clinical Informatics Administrator
http://www.tuomey.com 
Tuomey Healthcare System
Sumter, SC (803)774-1718
Fax: (803)778-9031

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