Hi Madge

It's very hard -- we went live last May.  But it's worth sticking to your
guns, I believe.  If users ALWAYS have to change the time back to the
assessment time (because it's never Document Now), it will take them longer
to document AND you introduce typing errors.  

True, there are times when the nurse just needs both hands to take care of
the patient.  But if she has a hand available to write it down, you should
STRONGLY encourage entering it straight into the computer instead.  The
quick entries -- recording an output for instance -- are burdened with the
need for log-in time.  But in ICU, the nurse can often keep a patient's
screens open and with good screen design, not everything has to wait until
later.  The best selling point of the system is that users (with access) can
see the data ASAP from any location.  If documentation is done later, you
are losing that benefit.

Your best tool in critical units will be the Process Flowsheet.  Our ICU and
PACU users do frequent real time documentation from the Process Flowsheet
and it works very well.  It's not the most mature of products so don't
hesitate to question your specialist; I know there are a number of DTSs out
there, they created one for us just last week when we found an inconsistency
and asked for resolution.  

In Labor & Delivery here, they don't do so well with the real time thing.
The doctors wage a campaign for an underground paper system, they claim they
can't find what they need in the computer.  So the nurses don't have time to
document in NUR because they are busy writing paper flowsheets.  then at
shift change, everyone is furiously typing away.  Their manager is working
on strategies to promote change in the unit.  

I wish you luck.  Get in touch if you have any questions.  


Linda Bulger, System Analyst
Franklin Memorial Hospital
Farmington, ME 04938

-----Original Message-----
From: Mueller, Madge [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 14, 2006 5:08 PM
To: [email protected]
Subject: [MEDITECH-L] Real Time Documentation


Help! 
We are in the process of building our NUR documentation.  We are wireless
and have mobile computers and our expectation is that the staff will
document in "real time".  Our User Group feels we are being totally
unrealistic and that there is no way nurses can document in "real time".
They also feel that critical care units cannot document on line and should
stay manual with a flowsheet.  Are we being unrealistic?  Are there any
sites that actually have their staff documenting in "real time" and critical
areas documenting on line?  If so, what secrets do you have to get staff to
accept?
Thanks in advance for any assistance. 
Madge  
Madge Mueller  RN, MSN 
Trihealth Information Systems 
Sr Applications Programmer/Analyst 
(513) 569-6814 
[EMAIL PROTECTED] 


PRIVACY/CONFIDENTIALITY NOTICE REGARDING PROTECTED HEALTH INFORMATION
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and protected from disclosure under applicable laws, including the Health
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this email (and any accompanying documents) is intended only for the
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received this communication in error, please destroy it immediately.
-----Original Message-----
From: Mueller, Madge [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 14, 2006 5:08 PM
To: [email protected]
Subject: [MEDITECH-L] Real Time Documentation


Help! 
We are in the process of building our NUR documentation.  We are wireless
and have mobile computers and our expectation is that the staff will
document in "real time".  Our User Group feels we are being totally
unrealistic and that there is no way nurses can document in "real time".
They also feel that critical care units cannot document on line and should
stay manual with a flowsheet.  Are we being unrealistic?  Are there any
sites that actually have their staff documenting in "real time" and critical
areas documenting on line?  If so, what secrets do you have to get staff to
accept?
Thanks in advance for any assistance. 
Madge  
Madge Mueller  RN, MSN 
Trihealth Information Systems 
Sr Applications Programmer/Analyst 
(513) 569-6814 
[EMAIL PROTECTED] 


PRIVACY/CONFIDENTIALITY NOTICE REGARDING PROTECTED HEALTH INFORMATION
This email (and accompanying documents) contains protected health
information that is privileged, confidential and/or otherwise exempt from
and protected from disclosure under applicable laws, including the Health
Insurance Portability and Accountability Act. The information contained in
this email (and any accompanying documents) is intended only for the
personal and confidential use of the intended recipient. If the reader of
this message is not the intended recipient or the employee or agent
responsible for delivering it to the intended recipient, you are hereby
notified that you have received this information in error and that any
review, dissemination, distribution, copying or action taken in reliance on
the contents of this communication is strictly prohibited. If you have
received this communication in error, please destroy it immediately.


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