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And for anyone using Krames on your intranet (and other vendors may work as well) you can use an attribute on a query that, when answered yes, will take them onto your intranet to the Krames folder section. The attribute reads:
[EMAIL PROTECTED]"Y" %Z.link.to.shell("FULL PATH TO INTRANET SITE, INCLUDING ACCOUNTNAME AND PASSWORD")}
I got the full link/path and account name/password by right clicking on the intranet link to Krames on Demand, then clicking properties.
Once on the Krames on Demand site they can navigate to and print any patient instructions they would like. When they close the browser they are back on the MEDITECH CDS from whence they came.
Give me a call if you would like to discuss.
Alan R. Baillargeon RN, BSN
Senior Clinical Analyst
Information Systems
(410) 620-3464
Pager (410) 378-0171
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| Brenda Wiley <[EMAIL PROTECTED]>
Sent by: [EMAIL PROTECTED] 06/07/2006 02:03 PM |
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Hi Lorraine,
RE: pain assessment and reassessment, after going thru various types of notes, interventions, etc, that weren't consistently used, we now use a GET-KEY canned text in the patient notes (see below). This is entered AFTER evaluation of the pain med's effectiveness, so if morphine is given at 11am and its effectiveness evaluated at 11:30, this note is entered at 11:30.
The nurses like that they have to enter only ONE note, and with the canned text, the data entry is actually very quick and the one note charting pain, what was done, what was given, when, and how well it worked can all be done in less than 30 seconds. JCAHO, in their last visit, said they really like this.
Complaint, Location of pain: []
Intensity (0-10 pain scale): []
Character of pain: [g NURTCUPC]
Duration: []
Acknowledges understanding of Pain Management options: []
Comfort measures used: []
Medication, route, dose: []
Time of medication administration: []
Patient response (pain scale 0-10): []
Time of response: []
=============================================================
RE: medication teaching:
We utilize a subscription service (Krames) which is an online source that will print patient education sheets on a wide variety of drugs. Additionally, we have a policy written that includes the following language:
Medication teaching will be documented in Meditech on the Teaching
Record. The goal of medication teaching is to allow safe and effective use of medications. Content should include as appropriate:
a) indication
b) dose
c) frequency
d) route
e) major side effects
f) precautions
On our Teaching Record (which is a form used by all disciplines for all types of teaching) we have the following queries:
Medication Teaching Done? Y/N
Meds for which teaching was provided:
(this query is skipped automatically if the former query is answered with a 'N')
Teaching done per P&P? Y/N
We have taught our nurses to, in addition to answering Y to the two Y/N questions, enter "Krames sheet given and reviewed with patient" in the portion of the CDS set up for what was taught.
Hope this helps.
Brenda Wiley, RN
Transylvania Community Hospital, Inc.
Lorraine Greene <[EMAIL PROTECTED]> wrote:
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Our facility is in the process of trying to get increased compliance with pain assessment and reassessment documentation. We also are falling out on the documentation of alternative measures and patient/family education about the pain medication given. Is there anyone out there that is willing to share screen shots of their documentation? Thanks !
Lorraine Greene RN
Clinical Informations Systems Coordinator
Houston Healthcare
478-322-5149
[EMAIL PROTECTED]
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