RE: [MEDITECH-L] (no subject)

Tue, 14 Nov 2006 13:39:46 -0800

Our experience with ICU documentation in Meditech is the same as Sharon's. We have a 10 bed ICU and use the same interventions for documentation. They also have additional interventions for pressure lines, ventilators and other nursing interventions specific to ICU. I have a different shift assessment and process flowsheet for ICU that defaults onto the screen if the patient location is ICU. This works for us. If the ICU nurses float to other units, the shift assessment has the same name, so they don't have to remember a different name based on the department they are working in and the ICU nurses are familiar with the interventions used in med/surg because they use the same ones.
If you use the process flowsheet in ICU, your nurses should be OK with this change. You can set it up so it mimics the trifold paper flowsheet that they probably already use.
 


Kim Frick, RN
Project Coordinator
Licking Memorial Health Systems
Phone: 740-348-4114
Fax: 740-348-4769
[EMAIL PROTECTED]
www.LMHealth.org
 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Friday, November 10, 2006 9:23 PM
To: Cynthia Frederic; [email protected]
Subject: Re: [MEDITECH-L] (no subject)

I've worked as a staff/management nurse in 2 ICUs, although it may be important to point out that both of them were relatively small (max 12 beds). The unit I'm with at present does indeed document in Meditech and the nurses use all the same screens that the Med Surg nurses use, with the exception of a single CDS that is only one page and functions as a sort of flow sheet for vitals and I&O. And this seems to work fine for them, regardless of the stability or complexity of the patient.
 
The unit that I worked with in the past certainly could have documented in Meditech, using the screens developed for Med Surg and adding just a few special ones to cover the nursing interventions/care unique to that setting (eg invasive hemodynamic monitoring, temporary pacemakers, mechanical ventilation).
 
Good luck - and if you'd like to carry on this conversation off -list, I'd be happy to. Sharon
 
-------------- Original message --------------
From: "Cynthia Frederic" <[EMAIL PROTECTED]>

Good Morning –L,

 

I’m about to start building screens so that the ICU can chart in Meditech.  I know I’m going to meet with a lot of resistance and would like to go in as prepared as possible.  I am looking for help from anyone that currently has screens built and are charting in Meditech for ICU.  Any input would be greatly appreciated.  Up to now, I’ve heard every excuse why the ICU can’t chart in Meditech.  If there are any legitimate concerns, I would like to know now before I get too far.

 

Thanks for your help and input,

 

Cynthia Frederic, RN

Nursing Informatics

Ochsner Medical Center of Baton Rouge

 

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