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We are in the process of writing a policy (I've asked that the policy be
written before we start asking the staff to document 1st dose), the policy
is a very generic one that calls for 30min and 60min assessments, that is
all our pharmacy manager wants, he doesn't want to get into this drug has to
be monitored for 12 hrs, this for 1 week, etc. He wants it general and easy
so that it will be done.
I have created a cds in NUR for the nurses to document on. Our acute care
manager wanted it on the shift assessment, but I am saying "no". Say you do
rounds on your patient at 8am, Dr.Jones comes up at 9am and writes orders
for a new med, pharmacy gets the orders and profiles them by 10am, you
administer the med at 10:30am, you sit down to document your 8am assessment
at 12noon because you don't like to take a "cow" in the patient room while
you do your assessment. It looks kinda strange that you document at 12:30
that at 8am you did and assessment and were predicting that you would give a
new med and be able to document 30 & 60 min assessments based on your 8am
time stamp. None of the nurses want it on the shift assessment, they want
it on it's own screen, they feel they will be better able to document it on
it's own screen.
Now here's where administration doesn't like me, what about ancillary
departments that administer drugs, IV dye, Creams, lotions, injections,
glucose tolerance testing, etc..... how are they supposed to follow this
rule????? Who is going to "police" the staff to make sure they are
following the rule?
Any ideas?????????
Is there a way to set-up emar with a rule that the first time a drug is
administered it will flag the nurse????
We will be going for emar and bmv training in Aug. '06.
Charlotte Snider RN
Clinical Coordinator I/T
Hammond Henry Hospital
600 N. College Ave
Geneseo, IL
Therapy is expensive.
Poppin' bubble wrap is cheap.
The choice is yours!!
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From: "HEATHER HENRY" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: FW: [MEDITECH-L] first dose notification?
Date: Tue, 23 May 2006 12:35:21 -0500
From: "Gauntt, Brandon K." <[EMAIL PROTECTED]>
To: <[email protected]>
Subject: FW: [MEDITECH-L] first dose notification?
Date: Mon, 22 May 2006 15:08:35 -0700
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Any ideas.....please post.
Brandon Gauntt
Nursing Systems Analyst
Inland Northwest Health Services
Information Resource Management
157 S. Howard, Suite 400
Spokane, WA 99201
509-462-3440
509-710-6585 (Cell)
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gauntt, Brandon K.
Sent: Wednesday, May 10, 2006 10:41 AM
To: [email protected]
Subject: [MEDITECH-L] first dose notification?
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Are there any facilities out there that have found a solution for the
national standard regarding Nursing documentation of first dose
administering of meds? Current policies and procedures would be great
to get and even exactly how the process works from the Pharmacy to
Nursing. We are trying to come up with a solution to this but are
running into problems with the fact that depending on the med
administered there could be a time frame of 4 hours before there could
be adverse reactions all the way up to 12 hours. Any information would
be helpful.....Thanks,
Brandon Gauntt
Nursing Systems Analyst
Inland Northwest Health Services
Information Resource Management
157 S. Howard, Suite 400
Spokane, WA 99201
509-462-3440
509-710-6585 (Cell)
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