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Currently our policy is that ALL documentation goes back into the system after 
a downtime...
we have never been down more than 6 hours either planned or unplanned and 
usually round up additional staff to assist in the data entry.
When we come up with eMAR we will debate this again
Our stand has been that the permanent record in our institution for LAB/RAD 
Nursing assessments I&O and Vitals is the EMR. We DO NOT print these documents, 
we archive. 
We have not come up with a convenient way to describe the interrupted record to 
the viewer in PCI. 
This is always a lively discussion!!

Janice B Lisee, RNC BSN
Senior Systems Analyst
Frederick Memorial Hospital
Frederick, Maryland 21701 
240-566-3437
mailto:[EMAIL PROTECTED]


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Susca, Rena
Sent: Wednesday, July 12, 2006 2:03 PM
To: [email protected]
Subject: [MEDITECH-L] After downtime,do you back-enter data or keep
paper records?


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We are putting together a master Downtime Policy and Procedure manual to
include each department's procedures during scheduled and unscheduled
downtime.  Only Nursing currently has a policy and it says that after 24
hours of downtime, the paper records will go into the patient's chart as
the permanent record, while any downtime shorter than 24 hours will
require back-entering of all data into the system.

This time frame was not well received by some departments, who insisted
they could enter no more than 3 hours worth of documentation into the
system following downtime, as opposed to our Outpatient Therapy staff
who said they could enter up to 6 days worth of documentation without a
problem.  The issue is now going to our Integration Team for discussion
as to whether the policy should be defined by department or if we should
stick to a hospital-wide time frame.

I'm curious as to the time frames that other hospitals use, and if they
were decided upon by each department or by upper management as a
hospital-wide policy.  Any feedback would be greatly appreciated.
Thanks!

Rena H. Susca
Sr. Systems Analyst
Gaylord Hospital
Phone: (203) 949-2122
Fax: (203) 294-8780
[EMAIL PROTECTED]

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