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OE CAT CDS

 

Screen Mnemonic      OEEDM

 

Type          OE CAT 

                               

Fld#  Query      Row Col Text

 

   1  EDMCC      1   1   CC:

 

Attribute to call CC frag from EDM.PAT into this OE CAT screen/query:

 

IFE=IF{/["aa"]^/URN 1,

IFE=%Z.rw.fragment("EDM.PAT.zcus.bm.cc.R","EDM.WTN"),

IFE=P(R,S,/R.FRAG.VAL["COMP"]^/[ANS%0,"EDMCC"]|0)^#,1}

 

Now my report was written in MAGIC 5.4 SR 2

 

Good Luck,

Bill Mullins RN
Williamson Medical Center
2021 Carothers Road
Franklin,Tn  37067
615-435-5630


From: Gail Hardie [mailto:[EMAIL PROTECTED]
Sent: Friday, June 23, 2006 4:37 PM
To: Bill Mullins
Subject: RE: EDM Attributes

 

We plan to do the same as your facility, as far as reception, what I’m saying is that the triage nurse will have to go to many different areas in the Trg/Doc Routine:.

We are even going to have the clerks choose HSB as well (I got that from you)

 

Assessments (4)

  Triage Assessment------------------this one

  Secondary Assessment

  VS/Pain/Neuro Reassessment

Diagnoses (0)

Notes (3)

Priority/Severity (3/9)-----------------this one

Status Event (C NURSE)

Treatments (1)

  SOFT NECK COLLAR APPLIED

Allergies/ADRs (6)------------------------this one (for allergies/ht/wt, I don’t think the nurses will use the PHA screen, but the ones defined in

                                                               MIS Clin Parameters, we will let the docs do that one... )

Active Prescriptions/Hx Meds (5)------this one

 

Then they will have to go to OE to enter any triage orders, and of course they will have to edit the Chief Complaint as well at the top of the screen.

 

Wouldn’t it be easier for the Triage Nurse to be able to do as many as possible from the Triage CDS? I feel it would

lead to better compliance. Otherwise they will forget something.

 

Another question, why have a signature line with Date and Time when above the Screen, it has the user with date and time as below,

That’s viewable and prints with the record?

 

 

Patient  Ho,Gung - 37/M                                  0000415

   Date  06/23/06   Time  1720  User  GHH

 

                                  TRIAGE ASSESSMENT

Stated complaint: INGROWN TOENAIL

        Comments:

      Onset Date:           Time:           Enter Note?

    Arrival Mode?            Accompanied by:

     Meds/Tx PTA:

 

Gail

 

 

 

Gail Hardie,RN

Informatics Nurse

Morehead Memorial Hospital

[EMAIL PROTECTED]

336-623-9711 ext.2889

 


From: Bill Mullins [mailto:[EMAIL PROTECTED]
Sent: Friday, June 23, 2006 4:37 PM
To: Gail Hardie
Subject: RE: EDM Attribute for Nurse's Notes/I GOT IT!

 

-->

Gail:

 

The priority is not required on the reception routine.

 

Our ADM/REG clerks do the reception routine and all they record is

1.NAME

2.SEX

3.DOB

4.STATED COMPLAINT

5. CHIEF COMPLAINT OF HSB (GENERIC ONE WE USE ON EVERY PATIENT UNTIL TRIAGE IS COMPLETED)

6. EDM LOCATION OF M (MAIN ER) EVERY PATIENT STARTS IN MAIN ER UNTIL THE TRIAGE NURSE ASSESS’S THEM

 

Just to find the right patient in the MPI search) you can use SS# if they have ever been at your facility before.

Stated complaint and edm location of M for main.

 

Patient  NEW                               Arrival Date06/23/06   Arrival Time1528

 

Name   SMITH,JOHN                      Sex  M    Birthdate  01/01/60  Age  46

 

Perform MPI Search?  Y

 

Stated Complaint TEST

Chief Complaint  HS          Health seeking behavior

 

           Priori            ED Location  M

 

 

Then the patient gets triaged and the triage nurse documents a brief hx and focus assessment, including allergies, ht/wt and they then decide on the priority and EDM Location of MAIN or FASTTRACK. This is all documented on the Triage assessment.

 

See attached cds…

 

Bill Mullins RN
Williamson Medical Center
2021 Carothers Road
Franklin,Tn  37067
615-435-5630


 

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