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Hi Angel, 
We have been live with EDM for about 4 years. We do staff a few ED Techs and
LPN's both of which are able to document patient assessments, but their
assessments must be cosigned by an RN. As for downtime, we revert back to
our old paper assessment. Any patient started on paper remains on paper, we
do not enter information into the system once it is back up. It saves on
confusion and time. 
As far as acuity level, with the assessments being chief complaint driven,
the higher the acuity and more critical the patient, the more documentation
marked as required.  This serves as a reminder to staff that certain things
should be done. 

Hope this helps and good luck

Dana Pfingstler, RN
Nursing Analyst
Elk Regional Health Center
St Marys, PA 15857
814 788-8682
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Gregersen, Glenn A
Sent: Monday, April 10, 2006 8:16 AM
To: CS Hampton, Angel; [email protected]
Cc: _SISU - Clinical Systems Users Group
Subject: [MEDITECH-L] RE: EDM - Documentation Policy & Downtime

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Please post - this would be great information to have.

Thank You
 
Glenn Gregersen
Clinical Application Specialist / HIPAA Security
 
218-927-5579
 
"You miss 100% of the shots you don't take." - Wayne Gretzky 
-----Original Message-----
From: Hampton, Angel [mailto:[EMAIL PROTECTED] 
Sent: Monday, April 10, 2006 6:35 AM
To: [email protected]
Cc: _SISU - Clinical Systems Users Group
Subject: EDM - Documentation Policy & Downtime

(C/S 5.4)
We are currently building our clinical documentation for EDM, and are
looking for examples of a documentation policy that outlines expectations
for Live documentation, as well as downtime.
Do any sites vary documentation expectation by patient acuity level ? 
Do your ED Techs or other non-licensed staff document in EDM ?
What do you have in place for downtime policy and forms ?
Do you enter back in, the documentation collected during downtime on paper ?
If so, who does this ?

Thank you for any assistance, 

Angel Hampton RN
 ED Clinical Analyst 
  (386) 226-4509
   Cell 679-3614
   (In ED Classroom)
 Halifax Medical Center
   Daytona Beach, FL
 
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