All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
Here are the answers I received so far: ------------------------------------------------------------------------ ------- We make the decision on a case by case basis. If the downtime is 2 hours or less, they enter nursing documentation after the downtime. Anything longer than that, the VP of Patient Care determines if the paper record becomes permanent taking into consideration the patient census, nurse staffing, # of admissions during the downtime, etc. If the downtime is planned, we usually know how long it will be and can plan ahead. I instruct the staff on what to do before the downtime to eliminate confusion. Personally, re-entering 24 hours of nursing documentation sounds daunting. The nurses that performed the tasks might not be working when the downtime is over, so if this is going to be your policy, you will need a post downtime documentation team present to enter the documentation. Kim Frick, RN Project Coordinator Licking Memorial Health Systems Phone: 740-348-4114 Fax: 740-348-4769 [EMAIL PROTECTED] www.LMHealth.org ------------------------------------------------------------------------ ------- Hello Rena, Our downtime policy for Nursing is " If Meditech is down for greater than 2 hrs they go to a paper chart, but If the system is up and running in 2hrs or less staff must back enter all of that data. This decision was made by both IS and Nursing. The other hospital departments have their own downtime policies. Since 2004, We have had only schedule downtime that lasted longer than 2 hrs. So staff had more than adequate time to prepare. We have not had any major disruptions when going to downtime that would greatly interupt the workflow. We have had a few emergent episodes but nothing lasting over 2 hrs. Hope this helps. Juanita Singleton-Murray RN,BSN Nursing Informatics Beaufort Memorial Hospital 989 Ribaut Road Beaufort, SC 29902 (843) 522-7913 [EMAIL PROTECTED] ------------------------------------------------------------------------ ------- 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] ------------------------------------------------------------------------ ------- we back enter data. [EMAIL PROTECTED] ------------------------------------------------------------------------ ------- With the advent of eMAR, Nursing has moved to anywhere between 2 and 4 hours at the sites I have implemented. Anymore than that and the ime to enter the downtime documentation is overwhelming. K1 at meditechtalk.com ------------------------------------------------------------------------ ------- I believe if it is less than an hour everything should be entered. >1 but less than 4 enter Intake/Output and Vital Signs and a note explaining system was down. Put paper documentation into chart (or >better yet scan it in) You will not get compliance if you stay to the 24 hour rule. However I have only been one place where system was down that long..we had tornadoes and lighting strikes that took us down. Usually the down time is always less than 6 hours planned or unplanned. [EMAIL PROTECTED] ------------------------------------------------------------------------ ------- Rena H. Susca Sr. Systems Analyst Gaylord Hospital Phone: (203) 949-2122 Fax: (203) 294-8780 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Susca, Rena Posted At: Wednesday, July 12, 2006 2:03 PM Posted To: Meditech List Serve Conversation: After downtime, do you back-enter data or keep paper records? Subject: [MEDITECH-L] After downtime,do you back-enter data or keep paper records? All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== 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] Our Mission is to preserve and enhance a persons health and function. CONFIDENTIALITY NOTICE: This e-mail transmission message, together with any other documents or attachments, is intended only for the use of the individual or entity to which it is addressed and may contain personal information that is subject to confidential privacy regulations such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 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CONFIDENTIALITY NOTICE: This e-mail transmission message, together with any other documents or attachments, is intended only for the use of the individual or entity to which it is addressed and may contain personal information that is subject to confidential privacy regulations such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The authorized recipient of this information is STRICTLY PROHIBITED from disclosing this information to any other party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, dissemination, saving, printing, copying, or action taken in reliance on the contents of these documents of this message, or any attachment, is strictly prohibited. Please notify the original sender (only) immediately by telephone or by reply E-mail and delete this message along with any attachments, from your computer. Thank you. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
