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We're Magic, and most of the patients that we've had a problem with are
coming out of the ED, so there is no documentation yet in NUR. It's the
EDM Nursing documentation is not being flagged. 

>>> "Witt, Sharon L." <[EMAIL PROTECTED]> 07/19/2006 10:56 AM >>>
Are you magic or C/S?

When our admitting staff try to cancel an account with Nursing
documentation, they do get flagged and can't cancel it till they are
dealt with.

-----Original Message-----
From: Kathy Armstrong [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, July 19, 2006 9:54 AM
To: Karen Peavler; Witt, Sharon L.; [email protected] 
Subject: RE: [MEDITECH-L] Selecting Wrong Accounts

We have been able to move account information in ADM using the last
field under the Cancel option. Unfortunately this only works for those
accounts that are the same. For example, ED to ED. If there are two ED
visits and one is admitted, then we are stuck again with no real
option
for merging. 

And, interestingly, if the parameters are set to stop people from
canceling with outstanding issues, then it doesn't even look at
nursing
documentation at all, and there is no warning that you are about to
delete the entire chart if there is nothing in BAR, LAB, RAD, PHA or
OE.



Kathy Armstrong, RN, MBA, CPHIMS
Clinical Applications Specialist
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
Tele:  (828) 326-2700
Fax:   (828) 326-3023

>>> "Witt, Sharon L." <[EMAIL PROTECTED]> 07/18/2006 10:52 AM >>>
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We also have issues with this. I would also be interested in how
others
handle this.

Since we are moving towards PCM, I would be interested in how people
handle the wrong accounts in that situation as well.

NUR documentation can be moved. Works best if the account you are
moving
to doesn't have any documentation. But it is an all or none. Can't
select what you want moved.  Once this came available, it made life
easier.

Then we went up with the EMAR. There is no way to move the
documentation. We usually end up leaving the account they want
cancelled, just change it to a CLI and have a location of XLDOC.  They
know not to look for charges and it is excluded from stats. But this
isn't an ideal solution when it comes for Release of Info as we go
away
from the printed chart.

By the way, the MAR can be set up (in Magic anyway) that a person can
document for another user. While we don't let others document in
nursing, we do in the EMAR so that medications given during a downtime
can be documented after the system is back up.  We didn't want to
leave
the outstanding doses hanging out there. If the downtime is over the
end
of a shift, they would change the user, time, and date as needed. Then
use the reason code for DOWNTIME/PAPER. That indicates that they are
documenting for someone else and using the paper documentation to
enter
the info. Then the paper documentation is kept and scanned into PCI.

-----Original Message-----
From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Freeman, Gale
Sent: Monday, July 17, 2006 11:25 AM
To: Karen Peavler; [email protected] 
Subject: RE: [MEDITECH-L] Selecting Wrong Accounts

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Yes , we would love to see what others are doing also . We just had
the
same thing
Happen today where an account from July 7th needs to be canceled and
everything moved
To another account. 
The lab has a function that will do that, I don't understand why the
rest of the modules
In MEDITECH don't as well . 

-----Original Message-----
From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Karen Peavler
Sent: Thursday, July 13, 2006 11:54 AM
To: [email protected] 
Subject: [MEDITECH-L] Selecting Wrong Accounts


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Hi everyone, I am really interested in what processes are you
following
when PCS or eMAR is documented on the wrong account.  We are stressing
the importance of making sure the right account is selected at
registration because when information is documented on the wrong
account
the only way is to have staff to manually re-enter this information. 
In
PCS interventions you can at least specify that you are documenting
for
someone else and this in itself is very timely--do you transpose the
documentation exactly as the other person did with incorrect
spellings,
etc?  Do you have the staff that did the original documentation come
in
and document on the correct record?  Are you documenting on a special
intervention this was on the wrong account??? And what are you doing
with the MAR---is pharmacy re-entering the meds on the correct
account?
How does Pharmacy document it was entered on the wrong account?? And
nursing with the MAR, again is one person doing all the documentation
or
the original staff?  Since you cannot specify the documentation was
from
someone else in the MAR how are you dealing with this???  I certainly
would love responses!!!

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