[MEDITECH-L] NUR documentation

Tue, 14 Nov 2006 12:20:11 -0800

Title: Message
 
Thanks for the responses:
 
-------------- Original message ----------------------

From: "David S. Dickason" <[EMAIL PROTECTED]>

> We are looking to start Meditech nursing documentation. We are Magic  5.4.3 going to 5.6 in May. We wish to implement full documentation,  care plans, interventions, acuity, and possibly staffing and

> scheduling.  I'm looking for sites to speak with that have done this, and how they are monitoring productivity. We have looked at an outside product, but  would prefer to stay within Meditech if possible.

> Also curious if anyone has written any custom NPR reports for  productivity reporting.

Hi David,

We went live with Meditech Magic NUR 5.5, April 2003 with Care Plans, and NANDA, NIC, NOC for our diagnoses, interventions, and outcomes. We do not currently use it for acuity or staffing and scheduling. Please feel free to call me at 315-787-4042 if you have any questions that I can help you out with, or you want to see how we are using it. I can set you up with one of our Core Team members who could show you how they use it ion the floors.

Thanks, Patti

Patti Schillaci, RN [EMAIL PROTECTED]

David:
 
We didn't look at documentation from a productivity standpoint. We looked at it from a completeness standpoint. You should realize that you will have a six-month lag in productivity with the normal learning curve for Meditech NUR documentation.
 
I can tell you that our documentation improved about 400% with the implementation of on-line documentation. Suddenly, care plans got individualized, items that were frequently left blank on paper forms actually got documented, intake and output numbers started making sense. In fact, Maternity staff have complained that their productivity dropped because they feel like they are documenting more. They perception is a correct one. Rather than the spotty documentation that they did on paper, their documentation now is complete and clear and they even have individualized care plans for labor! On the other hand, if they had been documenting everything they should have been on paper, their productivity would actually have increased because they no longer have to document the same thing 4-5 times like they did on paper - with matching queries, they can simply recall the data from CDS to CDS.
 
I wish you well with your implementation. We have been up with NUR documentation since 1998. The acuity we just brought up on two units this year and it was an intense 6-week build. We haven't started Staffing and Scheduling yet but I have heard from other area hospitals on Meditech that it is also an extensive build.
 

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

[EMAIL PROTECTED]

David:

We are Meditech Magic, 5.5 and have been using nursing documentation for the last 10 years or so!!..We are not doing the acuity part of documentation, so can’t help you out there…but, if you want to visit with me about the other parts, please let me know…will be happy to talk or email you…

 

Diane Folsom, RNC
Clinical Information System Specialist
Sid Peterson Memorial Hospital
Kerrville, TX  78028

David Dickason RN
Nursing Informatics Specialist
ThompsonHealth
Canandaigua, NY

 

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