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This info was updated yesterday in our tasks also.  At least they are
listening once in a while!
Cathy

>>> "Karrie Ingram" <[EMAIL PROTECTED]> 4/11/2006 4:05:11 PM
>>>
Here is what we are being told about both of these issues: 

The pop-up for undocumented meds is not the best idea -the new plan is
to show below the current schedule a message (like 2 missed doses).
Users can see it but aren't required to click anything extra, doesn't
add to their workflow. 

The second issue will involve a parameter so that sites can say how
long
they want the last dose of the med to stay "active" after the stop
date/time. Sounds like a win/win. 

Thanks, 
Karrie Ingram
LTC IS Specialist
cmh
pho: 417-328-6251
pgr: 800-791-7290



-----Original Message-----
From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Charlie Downs
Sent: Tuesday, April 11, 2006 7:33 AM
To: Cathy Dwyer; [email protected] 
Subject: Re: [MEDITECH-L] 5.5 problem list update

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to
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Cathy - We are not live with the e-Mar, but I have listed my ideas on
the
first 2 things below. See below.
Charlie
Charles R. Downs Pharm.D.
Washington County Hospital
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
[EMAIL PROTECTED] 


> FIRST, I had put on the list before that we had an issue with the
Next
> Schedule column on the MAR not updating to the next true dose, but
> rather always keeping the earliest missed dose on the screen.  In
our
> version, they have made the change to reflect the updated schedule
on
> the MAR, and leave the box highlighted in red if there are missed
doses
> that have not been documented.  In the future release, I am being
told
> that development is addressing the change, but that they will no
longer
> be leaving the box red.  Instead, the user will get a pop-up window
> reminder that there is a missed dose on the MAR.  I am having two
> problems with the proposed solution by development:
>    1.  One more window the user will click past and do nothing
about.
>    2.  The window will pop-up to any user in the account in PCS - so
> staff not responsible to document that dose will continually be
clicking
> it when they go into the account (3 or 4 times a shift).
>
> My nursing staff likes the box staying in red and I have asked
Meditech
> to reevaluate this with development.  What do you think?

Why doesn't Meditech make this a customer defined parameter? That way,
those
who like the box staying red can have it their way and those prefering
a
pop-up window can have it their's.

> SECOND, the issue with the MAR not DCing a med until the last dose
is
> documented is also being addressed in 5.5sr4.  I am being told that
this
> will be fixed and that the med will DC at the proper stop time,
> regardless of undocumented doses.  FINALLY!  That makes sense.

What if they want to give the dose late? Is this a hard stop date or a
soft
stop date? Our orders are discontinued 1 minute after the last date is
due.
However, according to our policy, a dose is not late until 1 hour
after
it
was due. There needs to be a parameter set by the user when this drops
off -
an hour later, 2 hours later, whatever. Also, shouldn't there be some
kind
of notification that there is still a dose that was not given. What if
the
patient was having a procedure and the dose was over an hour. This
needs
to
be set by policy.


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