Hi Madge,
We are documenting on line with NUR. The only thing that does get documented
real time (some of the time) is the Admission Assessment forms. 
The idea of documenting real time sounds good but is not practical when
nurses are caring for more than one patient. Many of our nurses document
vital signs and blood glucose results soon after they are taken so they are
available when the doctor makes rounds.
The remainder of their charting is done as soon as time allows usually after
the all assigned patients are assessed and morning medications given. 
Our ICU is documenting on line they do miss their paper flowsheet as do some
of the doctors, even though we do have the Iatrics Visual Flow sheet for
them to use. 
 

Patricia Johnson
Nursing Information Systems
New Milford Hospital
21 Elm Street
New Milford, CT 06776
860-210-7457

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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Mueller, Madge
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] 


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