We do the same as June but someone determined that the Instructors need to sign off on a list
of interventions that they reviewed for each student.
We developed a CDS that pulls in the list of interventions documented by the student. This
list can be edited.. the Instructor Signs off on those listed. If anyone would like the macro
and NPR reports just let me know. It works the same way as the Med list we pull into a CDS and
edit for Discharge instructions.
Howard Chase, RN
Androscoggin Valley Hospital
59 Page Hill Road
Berlin, NH 03570
(603)326-5669
June Emrick wrote:
Cheryl:
Here is how we handle co-signing and student nurses: We have the
attached screen on interventions for the nursing instructor or
precepting person in the case of interns, etc. We teach the instructor
how to view the data entered on-line by the student/intern so that
he/she can review it prior to documenting on the co-sign CDS.
Other considerations for student nurses:
We've set up our student nurses to go directly to the Status Board and
teach them to use Process Flowsheet instead of Process Interventions.
I've found that this greatly reduces their training time and still gives
them access to everything they need except undoing documentation. The
Nursing Instructors are taught to undo and have access to undo for
others if necessary.
Another thing to keep in mind is if you are doing on-line acuity: you
don't want them "double" documenting the shift assessment. Ours has a
large amount of time tied to it as it includes the med pass and it will
cause the Projected/Required/Documented to be out of alignment if the
student and the assigned nurse both document on it. Instead, we built a
separate student nurse shift assessment intervention which has no acuity
assigned to it but uses the same CDS as the professional nurses. We tied
this to a SN Process Flowsheet which is set up on each student nurses'
default access. That way, the student doesn't have to add intervention
to document against it and they can't accidentally document against the
shift assessment that has acuity attached.
Hope this information is helpful.
*June Emrick, RN*
Patient Documentation Systems Nurse
Johnson Memorial Hospital
Franklin, Indiana
[EMAIL PROTECTED]
Phone: 317-738-7811
Pager: 317-301-9978
-----Original Message-----
*From:* TOOMEY, CHERYL [mailto:[EMAIL PROTECTED]
*Sent:* Tuesday, December 26, 2006 12:51 PM
*To:* [email protected]
*Subject:* [MEDITECH-L] Nursing School
We have completed our NUR implementation and are getting ready to
train the nursing school instructors.
How have you taught them to "co sign" their students' documentation?
We do most of our documentation in CDS and very little in notes.
Appreciate any help. Happy Holidays
Cheryl Toomey MHA, RN BC
Clinical Informatics Specialist
Milford Regional Medical Center
Milford, MA 01757
vm (508) 422-2449
[EMAIL PROTECTED]
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