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Hi Steve, We upgraded to 5.5 this past January and we also testing possibility of using the NUR/BBK integrated Transfusion Administration Record (TAR). Although we are not using barcode scanners for BMV yet, TAR can be used without barcodes. After setting this up and testing it, we concluded that this will someday be a very nice feature to use... but currently it has several problems that prohibited our use of TAR. They are: 1) Once in the NUR TAR routine, there is a "Special Instructions" button that provides special instructions regarding the infusion of that product... perhaps "Use in-line Leukocyte filter". Although there is an asterisk on the screen to indicate the need to review these instructions, there was no way to be sure that these would not be overlooked and the patient potentially harmed. 2) Vital Signs associated with the transfusion must be documented using a "Document" button in TAR. This links those vitals with that product and shows these in PCI along with the product history. However, any vitals taken before or after the actual start and end time of the infusion are NOT linked to the product. Since our policy requires a nurse to record vitals prior to beginning the transfusion as well as one hour post transfusion, we need those vitals linked as well. Meditech states that there is currently no way to do this! 3) Anytime there is a suspected transfusion reaction, we have a procedure for nurses to follow. A pathologist then reviews the records and determines the type of transfusion reaction, if any, that occurred. He then uses a Transfusion Reactions routine in BBK to record the type of reaction the patient had to the product. All of this is linked to the product and displays in PCI. HOWEVER, the TAR includes a "Reactions" button. This button takes the user into BBK's Transfusion Reaction routine and would allow a nurse to enter transfusion reaction information that only our pathologist should be entering. And of course... there is no way to remove the button as this is standard Meditech design! :-) 4) The TAR provides a time that the next vital signs are due based on customer defined directions. However, each "Next VS Due" is calculated based on the lasted documented time... not the time the infusion was started. So if the user is 10 minutes late documenting the first set of vitals, EVERY subsequent "Next VS Due Time" will automatically be thrown off 10 minutes... but this is "Working As Designed" (WAD)! There are many things about this routine that we did like. But because of the critical nature of blood products transfusion, we felt that using the TAR as it is currently would require so many workarounds that we would be better off sticking to our current paper transfusion record for now! I hope this information is helpful! Good luck, Kenny Whiteside Kenny Whiteside RN, BSN Patient Care Information Systems Catawba Valley Medical Center 810 Fairgrove Church Road Hickory, NC 28602 [EMAIL PROTECTED] >>> "Johnson, Steve K." <[EMAIL PROTECTED]> 05/01/2006 4:49:27 PM >>> All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== We are already live with BMV and EMAR in 5.4. We are just beginning to test our 5.5 update ring. We would like to try out the 5.5 enhanced BBK/NUR integration which supports barcode bedside patient identification and electronic Transfusion Administration Record (TAR). Is there anyone out there who has already been through this? Willing to share your experience?? Respectfully, Steve Johnson Clinical Systems Analyst Island Hospital 1211 24th Street Anacortes, WA 98221 [EMAIL PROTECTED] (360) 299-4254 office (360) 630-4381 mobile (360) 299-1369 fax _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
