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 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. ====================================== All messages should be posted in plain text. HTML will be converted to an attachment. To subscribe or unsubscribe to the meditech-l, visit MTUsers.com To check the status of the meditech-l, visit MTUsers.net. ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
