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We use our interventions and schedule them.  For anything that they need
to be reminded of that they will chart in an intervention we have them
set the directions to those specific interventions.  For things such as
peak and troughs and such that you don't necessarily chart we created an
intervention called "REMINDERS" and taught them to put in the EDIT TEXT
area exactly what they need to do.  On the Nitro patch our Pharmacy
agreed to enter REMOVE PATCH like a med and it is scheduled for 2100 and
they document that they removed it.  For all other patches that you
remove and reapply they are just in as a med.  We have recently added a
few other specific reminders:

 REMINDER - glucose bedside test
 REMINDER - H20 enteral flush
 REMINDER - IV/MED
 REMINDER - lab draws
 REMINDER - pacemaker checks
 REMINDER - X-RAY

One example of use we came up with during live was a pt that needed to
have a specific med given 20 minutes before a procedure the next a.m.
We had the CICU nurse enter in a reminder for approximately 30 minutes
before the procedure and that came up on the status board for her to
see.  This works great for reassessing pain relief and a variety of
situations.


Pat Morehead, RN
Nursing Systems Analyst
St Francis Medical Center
Grand Island, Ne 

[EMAIL PROTECTED] 
W 308-398-5336
F  308-398-5875

Visit us on the web...   saintfrancisgi.org


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Method, Sheila
Sent: Tuesday, April 04, 2006 3:27 PM
To: Meditech-L ([email protected])
Subject: [MEDITECH-L] "Stuff" that used to be on the MAR

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attachments.    The meditech-l web site is MTUsers.com
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Hello, everyone.  We are live with BMV on several nursing units.  One
question that keeps plaguing (no, this is just the one today) is how to
notify the nurse of all the stuff they used to pencil-in on their paper
MARs.  Stuff like nitro patches have to come off at a certain time, then
go back on.  Stuff like remembering to draw vancomycin peaks and troughs
when the dosing isn't every x hours.  Stuff like documenting giving
units of blood.  Stuff that just can't be ordered by pharmacy and land
on the MAR.

Are there any creative solutions for this kind of thing out there?  I'll
take truly mundane solutions that work, too!
Thanks for all help, past, present and future. 
 
Sheila Method, Clinical Analyst
Memorial Healthcare
826 West King Street
Owosso MI 48867
v: 989-729-4688
f: 989-729-4699


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