I totally agree. We implemented Emar and BMV together. I would not consider doing it any different. I just want to add another reason to implement together. The goal of BMV is to scan as many meds as possible. When you implement them together, you are stressing that the preferred method is to scan and you only use Full Document in certain instances. If you bring them up separately, you are starting out by teaching them how to do the work around for scanning as the only way they can document. Then add scanning, and now you have to tell them, we NOW want you to only use Full document when absolutely necessary. So yesterday, Full Documenting was okay but now today, it isn't. Full Document is the way they are use to documenting, so they are more comfortable. Maybe I am wrong, but I think it would be harder to get nurses away from Full Documenting if that was the way they were use to documenting their meds. We prefer doing things the way we are most comfortable and it would be all too easy to forget to scan and no big deal, I will just document the way I always have. (at least no big deal until my nurse manager gets after me about my scan rates) At least with implementing together, while they still forget to scan, it becomes more of a "I forgot to scan, now what do I do?" When we trained the 2 together, the main focus was on the scanning and then what do you do when that barcode doesn't scan, or there is a downtime, etc. ________________________________
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Davis Daniel - Southern Hills Sent: Tuesday, March 20, 2007 11:40 AM To: [EMAIL PROTECTED]; [email protected] Subject: RE: [MEDITECH-L] eMAR/BMV policies and procedures There really isn't a huge difference to flow chart, depending on how safe your med admin process what prior to eMAR/BMV. When you check the five rights (which should have been just prior to giving the med) you include the computer by scanning the meds and patient. Now, if the practice at your facility has been to prepare all the meds away from the bedside and bring them to the patient in a small cup, yes this process will radically change processes. But, that describes a very unsafe process to begin with. I would not implement eMAR without BMV for these following reasons: 1) BMV is the biggest reason to implement eMAR. Without it, eMAR is simply the paper MAR on the computer, there is really no increased patient safety in that kind of process. 2) Why put your staff through two changes to their medication admin process when you can do it all at once? 3) When both are implemented at the same time the education/discussion with staff centers around Patient Safety and staff see very quickly during go-live that the system catches both nursing and pharmacy are currently making. If they are implemented separately the education/discussion centers around a documentation/process change. 4) eMAR doesn't have to change your other processes. For instance, we still control what meds can be given emergently without it being on the MAR through the override lockout on our Accudose machines. So, we didn't have to take steps for that within eMAR. Now Pharmacy did have to adjust a few processes on how they handled meds that the floor would never see or be expected to administer, but there were only a few of those. Those overrides do cross to eMAR allowing staff to document against the override. 5) It is simply the right thing to do for our patients. When we can address the place in the process where nearly half of the medication errors happen, it doesn't make sense to me not to spend the money. Daniel Davis ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Monday, March 19, 2007 12:14 PM To: [email protected] Subject: RE: [MEDITECH-L] eMAR/BMV policies and procedures Please post we are in the same boat...starting with emar. Does anyone have any flowcharted processes before and after emar/BMV that they would be willing to share? Theresa M. Skinner BSN-RN,BC ________________________________ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Michael Durkacz Sent: Thursday, March 15, 2007 2:36 PM To: [email protected] Subject: [MEDITECH-L] eMAR/BMV policies and procedures Hello, we are in the process of designing our new med admin processes around eMAR/BMV. If you have already gone through this exercise and have a policy and procedure you can share, please forward to me..it would be greatly appreciated. I'm particularly interested in peoples experience with medication retrieval and preparation before giving to patient. Thanks, Mike Michael Durkacz Regional Planning Associate Peel Regional Cancer Program Credit Valley Hospital 2200 Eglinton Avenue West Mississauga, Ontario L5M 2N1 P: 905-813-1100 ext. 5126 F: 905-813-4024
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