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Terry: We are using the POC routine. We started using it in 2000, even
before most of the nurses were doing on-line documentation. We currently
have 232 diagnoses/problems built and counting. They are fairly specific as
they were built off the paper diagnoses we used in the past (we used to pull
pre-printed diagnoses and, after modifying them, stapled them together to
made up a care plan) and they also include all the therapies. 

The reason we opted to make them fairly specific was a cost-effective
choice: the less time it takes to build a care plan, the more time the
nurses will have with the patient. The POC routine isn't very user friendly,
even with NUI, the nurses have trouble remembering how to edit text, change
priorities and even get to the goals. Teaching this routine takes up the
bulk of the NUR training time for both RNs and therapists. I would love to
see Meditech rework this routine so that it would be easier for the nurses
to make changes. Still, I have to say our nurses do a good job in
individualizing the POC.

The therapies have a much easier time with the goals because they have
always done goal-driven documentation whereas nurses tend to do
intervention-driven documentation. They usually only take a couple of days
in learning how to get to the goals; whereas, it takes a good six weeks
before the nurses are comfortable with getting to them. (This is because the
therapies build specific goals, free text, on every patient but the nurses
only need to modify goals on some patients).

June Emrick, RN
Patient Documentation Systems Nurse
Johnson Memorial Hospital
Franklin, Indiana

[EMAIL PROTECTED]
Phone: 317-738-7811
Pager: 317-301-9978


-----Original Message-----
From: Angeloni, Terry [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, August 16, 2006 9:25 AM
To: [email protected]; [EMAIL PROTECTED]
Subject: [MEDITECH-L] Plan of Care Routine or not


All messages should be posted in plain text.  HTML will be converted to
attachments.    The meditech-l web site is MTUsers.com
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Good Morning,

One of our hospitals is looking to re-design the Plan of Care.  We would
like to know how other hospitals are documenting a Plan of Care.  Are you
using the Plan of Care routine? If so, how specific are your Diagnosis (and
how many do you have)?  If you do not use the Plan of Care Routine, how do
you document and define Goals/Outcomes?  

Your help is appreciated as always!

Thanks,

Terry Angeloni
Provena Health Information Services
Application Specialist II
ph 815.730.2858
fax 815.744.7565



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