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Don't you just love them....
What is the POC test (glucose,urine dip stick?)
There are ways to do this, but I would think the doctors would want all
the LAB results to be in the same place in PCI, so that would encourage
administration to tell Lab to do whatever is needed to get all the
patient data in one place.
In my past lives, I remember nursing doing this, but I think LAB had to
receive it and via a attribute, or LAB rule (hook?) they didn't have to
document the result, it was pulled into the LAB and displayed in PCI
with the other lab results.
Because OE.ORD query responses are stored with the order and not stored
with 90% of query responses in ADM.PAT.ccdqr.response, it make this more
difficult.
Does your facility use OE ADMN DATA screens for HT/WT and Allergy info?
If so, I might have a suggestion for you.
We have some queries on OE Category screens for How the patient is
transported, do they have an IV, are they on telemetry. In the past
these had to be answered by the ordering user (unit secretary-who may
not really now the answer) every time a certain category/procedure was
placed in OE.
What we did was default the responses to these queries using an
attribute, so the next time a RAD exam is ordered, the last response
defaulted (if someone edits any of the queries, then the new edited
response displays).
This helps in OE, but we also added those 3 queries to our OE ADMN data
screen (why?) so we could access the responses on our NUR STATUS BOARD
and to do that, the responses had to be in ADM.PAT.ccdqr.response....
Works nicely so far..See below:
Type OE CAT Max Rows 3 Max Cols 88
Display Font
PCI Data Source
< Prompt >
Fld# Query Row Col Text
1 OETRANS 1 1 How is Patient Transported?
2 OEO2 2 1 O2?
QUERY
OETRANS
ATTRIBUTE
DFT=%OE.ORD.zcus.library.M.last.result(aa,"OETRANS")
So if Nursing is the first to answer this query in an Assessment screen,
or if someone in OE placing an order answers the query, we get the most
recent response to default in NUR and or OE.
We place these same queries with the same attributes on our OE ADMN DATA
screen (OE PAT 1 type) and on the NUR ADMIT HX/ASSESSMENT and Shift
Assessment screens.
--------------------------------------------------------------------
Another option might be to use QUERY GROUPS OR MIX QUERY GROUPS IN PCI
to display this information. So if the POC test is for Glucose Finger
Sticks, you could display the query result along with the Serum Lab
result in the same grouping for comparison.
Now I have not done this with OE.ORD query responses, so I would have to
test it, I am not sure those OE.ORD query responses would show up in the
Mixed groups (but as long as the query had a PCI section attached to
it???)
We get the bedside glucose into the LAB DATA in a group called POINT OF
CARE
Laboratory Data
CHEMISTRY
COAGULATION
HEMATOLOGY
OTHER MICRO
POINT OF CARE
Lab has to receive it or it gets downloaded from the bedside glucometers
and then populates this section called POC.
Good Luck,
Bill Mullins RN
Williamson Medical Center
2021 Carothers Road
Franklin,Tn 37067
615-435-5630
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Paul Goedicke
Sent: Friday, July 07, 2006 9:28 AM
To: Meditech-L (E-mail)
Subject: [MEDITECH-L] point of care test documentation in PCI
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This is a little different. A nursing location wants to order a point of
care test and document the results, etc. through a CDS attached in Order
Entry. They want the results to then be viewable under LAB tests in PCI
(we're MAGIC 5.4, SR3). Lab does not want anything to do with this (i.e.
they do not want to have to receive a specimen for this). The clinical
area also does not want to document within the NUR module. With the 2
easy methods eliminated, does anyone have ideas or solutions to
accomplishing this?
Could we order this through OE, having it go to NUR just so we can view
the results from the CDS in PCI? I don't believe that clinical area has
yet implemented NUR documentation.
Thanks, Paul
Paul Goedicke
IT Analyst III
Jackson County Memorial Hospital
1200 E.Pecan, Altus, OK 73521
Phone: (580) 477-7485
Fax: (580) 477-7366
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