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Brenda,
  Would only patients in isolation have the barcode available at the
door?  Any possibility that the barcode could be left over from a
previous patient?

By giving them permission to scan the armband barcode at the door for
isolation patients may lead to them finding ways to scan the armband
barcode for other patients without it being on the patient.  Nurses are
inventive enough at finding ways to  work around the system when they
can without us giving them more ideas.

We have 2 dedicated isolation rooms that we mounted a Thin client along
with a scanner. If there is an isolation patient in one of the other
rooms, they use the mobile carts. If not needed, they will leave it in
there and they will be cleaned upon the patient's discharge. Otherwise
we treat it the same way that Lab treats the EKG machine that they have
to take into an isolation room. They would wipe it all down when leaving
the room with antiseptic wipes. We did go with washable keyboards for
this reason. If we had it to do over, we would use the regular keyboards
and just replace after use in isolation rooms as needed.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Brenda Wiley
Sent: Wednesday, July 12, 2006 2:51 PM
To: Jo Boyce; [email protected]; [EMAIL PROTECTED]
Subject: Re: [MEDITECH-L] How do you handle Isolation issues with COWs

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======================================

We are in the testing stages of BMV, w/ plans to go
LIVE in fall.  Right now what we're thinking about is
having the barcode holding the patient identification
on the outside of the door where the patient's name
is.

All scanning of meds would occur outside the room,
including scanning the barcode w/ the patient
identifier.  Then the nurse will do the 'manual' check
we are currently doing now w/ paper MAR's asking the
patient to state their name and DOB before s/he gives
the patient the medications.

I'd sure be open to other ideas.

Brenda Wiley, RN
Transylvania Community Hospital, Inc.


--- Jo Boyce <[EMAIL PROTECTED]> wrote:

> I am interested in the same information about COWs
> and isolation rooms. 
> Can anyone with experience send info to me as well.
> Jo Boyce
> Clinical Analyst
> Speare Memorial Hospital
> Plymouth, NH
> 603-238-6458
> [EMAIL PROTECTED]
> 
> 
> [EMAIL PROTECTED] wrote:
> 
> >
> >Need some expertise from users who have been
> there....
> >We are currently in the planning stage of bedside
> medication
> >administration process.
> >
> >Question arose as to what other users do with the
> COW's in isolation
> >rooms.
> >
> >Do you have dedicated COWs for isolation rooms that
> are terminally
> >cleaned when room is cleaned? 
> >Does anyone use PDA's for Bedside Medication
> Administration vs COWs?
> >Is there a different process for Negative Flow
> rooms vs regular patient
> >rooms deemed isolation for contact isolation
> patient?
> >
> >Any assistance or insight would be appreciated.
> >
> >
> > Theresa M. Skinner BSN-RN,BC
> > Wuesthoff Health System, Inc
> > 110 Longwood Ave
> > Rockledge, Florida 32955
> > Office (321)637-2696


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