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We are just two weeks live with NUR documentation, so I can't offer a proven
solution.  We ran into that issue on several fronts.  As we built our
screens and interventions, Nursing wanted to combine a lot of things
together to minimize the number of interventions that need documenting.  But
if a certain system needs documentation more than once a shift on a patient,
you are stuck with that intervention going undocumented for the occurence
that's done on the shift assessment.

To a certain extent we had/have the same problem with the several
assessments that make up Admission.  For example admission vital signs --
because they are in an admission intervention, the first Vital Signs
scheduled doc doesn't get ticked off. 

We've already done some unbundling of Admission before we went live.  We are
probably going to unbundle a bit more and put it all into an intervention
set; and then we'll just have to work on avoiding duplicates from OE. For
the Shift Assessment -- Nursing is (quite understandably) still committed to
an identifiable, thorough intervention by that name so we haven't sorted it
out yet.  I'll be watching for ideas!

By the way we decided not to start out with Next Due on the Status Board,
because of issues with this.  The Status Board is still a great asset even
without using Next Due

Linda Bulger, System Analyst
Franklin Memorial Hospital
Farmington, ME 04938


-----Original Message-----
From: Brian Golden [mailto:[EMAIL PROTECTED]
Sent: Friday, May 19, 2006 12:51 PM
To: [email protected]
Subject: [MEDITECH-L] attribute to document a new intervention - help
with status board


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attachments.    The meditech-l web site is MTUsers.com
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Does anyone have an attribute that opens a new intervention and allows
the user to document it?  This could be an alternative to "pop up"
boxes.

We have avoided using pop ups by adding the questions to a new "page" of
the CDS, and skipping them (with attributes) if not applicable.  This
has worked well, until we started using the Status Board.

Our "Shift Assessment" intervention CDS has nearly 1,000 queries on it.
Most queries are on individual interventions as well (i.e. Skin
Assessment, IV, WOUND, Patient Teaching, etc.)

But, when we document the queries on the Shift Assessment, the
individual interventions are still "DUE" on the status board.

What we are thinking of is:
Removing the queries from the Shift Assessment CDS and replacing them
with one query (per individual intervention) that asks: 
        "Document Skin Assessment"
        "Document Wounds"
        "Document...."

A "Y" response would open up the individual intervention, document it,
and file it, returning to the "Shift Assessment intervention each time.

Any ideas?

Brian Golden, RN
Southeast Missouri Hospital
1701 Lacey St.
Cape Girardeau, MO 63701


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