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And I have to agree (again) with Daniel. We have long held the 'one hour before to one hour after' rule for variance. And in a day long, long ago when I came out of school that was an achievable goal. With what has happened to healthcare over the years, nursing should not set themselves up (as we so often do) to record a 'variance' for once-a-day meds not given in this time frame. My goodness, what WOULD be the impact of receiving that colace 2 hours after its scheduled admin time??????? Now antibiotics, time released meds, etc. etc. should be held on a tighter schedule, no doubt. I have, for years before the emar, prioritized meds based on what they are and when they are due, and have recorded the ACTUAL TIME I gave them, with no regret or remorse for the colace, once a day aspirin, etc. The emar will now highlight actual practice, which in my opinion, is entirely appropriate. My bottom line....before we ACT on any variances discovered, let's analyze the data and see is we have broken PROCESSES rather than broken nurses.......... Alan R. Baillargeon RN, BSN Senior Clinical Analyst Information Systems (410) 620-3464 Pager (410) 378-0171 Note: This message and any attachments are intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender. "Davis Daniel \(SouthernHills\)" <[EMAIL PROTECTED]> Sent by: [EMAIL PROTECTED] 07/13/2006 11:49 AM To "Brenda Wiley" <[EMAIL PROTECTED]>, "MediTech Users Group" <[email protected]> cc Subject RE: [MEDITECH-L] Users changing times w/ BMV when outside the variance? All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Isn't it better that the system gives managers a tool to know what is going on? I don't think that if they are documenting late, and actually gave the med earlier that you want the system to force them to document a wrong time. I think the light of eMAR shines brightly on many areas that have always been an issue, but are now brought to everyone's attention. Daniel Davis, RN -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brenda Wiley Sent: Wednesday, July 12, 2006 3:31 PM To: MediTech Users Group Subject: [MEDITECH-L] Users changing times w/ BMV when outside the variance? All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== For sites that are up and running w/ BMV ---- Are you finding that end users are changing the time of administration when they SCAN MED, but are outside the variance time frame for med administration? I'm disappointed to find that even tho I have "Display Scan Med Defaults" option set to 'N' in my MAR dictionary, preventing users from changing the date/time initially when they SCAN MED, if they are outside the variance time, the system brings them into the FULL DOCUMENT routine, and DOES allow changing of the date/time. As it is, users are already starting to voice concerns about "now you'll be able to see all the times I give meds late". I'm concerned that this part of BMV will tempt them. I know this can be monitored via reports, but I'd sure like it if the option wasn't even there in the first place. Ideally I'd like to see a user ONLY be able to change the time of an administration via EDIT DOCUMENT, or by going directly into FULL DOCUMENT initally, but not from SCAN MED. Brenda Wiley, RN Transylvania Community Hospital, Inc. __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
