We do have Physical Therapist that "co-sign" the documentation of the
techs.  They do do this by editing the original documentation.  However,
we keep all documentation so that we can see what was originally
documented vs. what was edited.

Also, keep in mind that the therapist is responsible for what the tech
does.  Therefore, does it not make sense that while reviewing the tech's
documentation that he is about to co-sign that he should have the
ablilty to edit as he feels is appropriate?

We do use attributes to allow only a therapist to enter a response in
the queries they use to co-sign.  We also have them document whether
they are co-signing the documentation as written or whether they are
co-signing after making some edits. (Just to make this a little more
clear!)

Kenny Whiteside


Kenny Whiteside BSN, RN
Patient Care Information Systems
Catawba Valley Medical Center
810 Fairgrove Church Road
Hickory, NC 28602
[EMAIL PROTECTED]



>>> "Richter, Rosamond" <[EMAIL PROTECTED]> 12/07/2006
12:49:14 PM >>>
We are building CDS screens for interdisciplinary documentation by our
nurses, Rehab and Respiratory Therapists, and Care Management/Social
Workers.  We have a challenge.  
The Physical, Occupational and Speech therapists need to be able to
co-sign an assessment or intervention for the Assistants in the
department.  The therapists say that a document stating a 2nd therapist
approves and agrees with the 1st therapist's documentation for Patient A
on this date will not be sufficient. The 2nd signature has to be
integral to the original assessment or intervention.  The only way I can
think to do this is to let them edit each other's documentation.  So far
the standard in our organization is that no one edits another user's
on-line documentation.

Has anyone out there found a way to do this in NUR?  Any help is
appreciated.  We are Magic 5.5 SR2. 

Thank you in advance.
Rose Richter, RN MSN
TriHealth Information Systems
Meditech Clinical Applications Support
phone: 513-569-6817


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