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Hi all,
I was asked to send the responses I received for the question I submitted about 
acknowledging orders once CPOE is implemented.  

Here are the responses:

1
" That takes away the need for acknowledgement."

2
"We asked ourselves this just today, especially with the MAR, the ack orders
is the acknowledgement that the nurse is aware of the order, our doctors are
going to be placing the orders in POM."

3
"We acknowledge orders here via the status board since we went live with
POM in April. The acknowledging just meeans they are aware the med was
ordered. If the nurse has a question or disagrees with the order, they
ask the physician to edit the order. For med orders they do not
acknowledge it until the order is verified by the pharmacist."

4
"This probably isn't much help but currently, we only use CPOE and the eMAR
in the context of the EDM module. These are all extremely simple one time
orders. We feel that the acknowledge function in this limited setting is
irrelevant and do not utilize it. Luckily, it is location specific because
we definitely plan to require acknowledgement for pharmacy entered orders
when the eMAR goes housewide soon.
Once we cross the housewide CPOE bridge, I would still think we will require
acknowledgement if for no other reason than as a tool for nurses to "check
off" new orders. However, if there is a meaningful method for them to do
this with med orders on the status board . . . . . I would be very
interested. And then strongly consider axing the eMAR acknowledgement
function. My concern would be that the nurse can't see the detail of the
entered order via the status board and thus, the acknowledgement might be
limited. I will check with our nurse implementation person to see how this
works."

I hope this helps others.  We are still discussing it and are probably going to 
stop the "ack" from the status board and just acknowledge med orders on the 
eMAR.  

thanks for the information.
Cindy Grolla, RN
Clinical Project Leader
Northfield Hospital
Northfield, MN
Phone: 507.646.1209
Pager: 507.645.1475


"

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