Brenda,
First, most staff are aware that a med is ordered BID, QD or what ever.
So, usually staff know that they have a med due now, even if the
previous dose shows up on eMAR.

Second, you need a process for handling those "missed" doses just like
you have now for the paper MAR.  If staff sees that the 10PM dose wasn't
documented they do their best to determine whether that dose gets
circled as a missed dose or how they will get it documented according to
your policy.  The same is true in eMAR.  If staff find a "missed" dose,
they either Full Document and say "not given" or they work with their
charge nurse to document that dose as given per your policy.

Daniel Davis, RN

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Brenda Wiley
Sent: Monday, November 06, 2006 2:44 PM
To: MediTech Users Group
Subject: [MEDITECH-L] Sites using BMV,how do you handle missed
documentations?

For facilities that are using BMV, how do you handle
the occurances where a user from a previous shift does
not document on a medication?  

The next shift's nurse comes on, and sees the missed
documentation at the top of the eMAR, with the
previous shift's administration time showing (thereby
NOT showing the time due for his/her shift).

For example, our BID times are 1000 and 2200.  If the
2200 dose is not documented on, THAT time hangs out at
the top of the eMAR, but the day shift nurse needs to
see that it also is due at 1000, and would not really
know that unless s/he looks at the SIG.

Thanks!

Brenda Wiley, RN
Transylvania Community Hospital, Inc.



 
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