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Hi,
We have been live with EMAR/BMV and we don't give users access to the Full
Document routine from the verb strip.  However, we found out shortly after
we went live that you can access full document via the Scan Med routine by
check marking the medication and then pressing the right arrow key.  This
helps the users because they go through Scan Med every time.  Our folks only
use the full doc portion to document something as "not given" (Example:
insulin coverage where the blood sugar is such that the patient doesn't
receive any insulin coverage).

Hope this helps.

Carol Petrusky 
 
Carol  Petrusky RN, BSN, BC
Patient Care Informatics Analyst
Parma Community General Hospital
Phone: 440-743-2334
Fax: 440-743-4047

 


-----Original Message-----
From: Brenda Wiley [mailto:[EMAIL PROTECTED] 
Sent: Monday, August 21, 2006 8:51 AM
To: Hennessey, Lisa; [EMAIL PROTECTED]
Subject: Re: [MEDITECH-L] FW: BMV Usage

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attachments.    The meditech-l web site is MTUsers.com
======================================

Hi Lisa,

What problems are you having?  You definitely want to use Scan Med, in order
to gain the benefits of BMV ...
right drug, right dose, right time, right patient etc.
 We plan to train users that Full Doc is ONLY for after the fact documenting
due to down times.  Even emergencies, we are going to train users that that
is when scanning meds is even MORE important, since that is when mistakes
are even more likely to happen.  I plan to put Full Document LAST on their
verb strip, so it is not right there staring them in the face!!

We are to go LIVE w/ BMV in October, and in my testing, I've come up with
several problems that ended up being resolved w/ DTS's (I had to find the
problems tho, before Meditech found the DTS!)

We are Magic 5.4. 

PHA DTS 7088 --- allows user to change unit type. 
Particularly useful for things like creams and ointments.  In Full Doc you
could change the default 1 Gram to 1 Application, but could not do so in
Scan Med.  With this DTS, you can also do it in Scan Med.

PHA DTS 6924 and 7842 --- allows system to recognize LINKed orders w/ Scan
Med as well as Full Doc.

PHA DTSs 6461 and 6702 corrected problems I discovered with inconsistent
Medication Administration reports and MAR exception reports.

PHA DTS 7030 corrected the problem of the eMAR verb strip being case
sensitive.

PHA DTS 6382, 7109, 6301, 7734, 7570 corrected other reporting problems,
particularly the problem of Pharmacy reports printing out "times" for PRN
meds (ie ... if a prn drug was ordered q1 hr, reports printed out with times
due, such as:

0100
0200
0300
...
...
2300
2400

Two problems Meditech has yet to resolve are:

Having the system recognize split med orders.  If you have an order, for
example for coumadin 8mg, and pharmacy supplies it as a 5mg tab and a 3mg
tab, I want the system to recognize the 3mg tab when I scan it as part of
this split order.  (It doesn't ... it says "3mg coumadin not on patient's
MAR ... do you wish to add it". 

Meditech says to use compound verification to verify the right components
are present, and then scan the RX#.  I find this unacceptable, and have
asked them to correct this (apparently this functionality is present in
5.5).

The other problem they haven't been able to correct as of yet is when a
nurse scans a med not on the eMAR (say in an emergency), gives permission to
enter that drug (via Enter Med routine), the system properly enters the drug
and records it as given, but it never shows up on the eMAR until the
pharmacist completes and verifies the order.  Our eMAR settings are set to
allow viewing of all drug orders.  

If any one has any input on these two problems, I'd love to hear it!!

Please feel free to call or email w/ any questions.

Brenda Wiley, RN
Tryansylvania Community Hospital, Inc.
Brevard, NC  28712
 
--- "Hennessey, Lisa" <[EMAIL PROTECTED]> wrote:

> ======================================
> 
> >     Hi,
> 
>         I wanted to take a quick poll of what routine in BMV most 
> facilities are using - are you using Scan Meds or Full Document?
> 
>        
> 
>       We have had issues with the Scan Meds routine on
> several
> occasions and Meditech is having a hard time
> correcting them since they
> have tested with the Full Document routine and don't
> see as prepared to
> test and/or work with the Scan Meds..  Just wanted
> to check to see if
> anyone else was having problems with this as well.
> 
>       
>       Thanks in advance for your help.
> 
>        
> 
>       Thanks, 
>       Lisa Hennessey
> 
>       Systems Coordinator
> 
>       Burdette Tomlin Memorial Hospital
> 
>       609-463-2841


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