eMar 1st dose: Yes, we've developed a way to do this with a custom Medi-tech program. It took 6 months to get this accomplished (we started June, 2006)- we (pharmacy) always felt there was a way and finally got the right people involved & got it done. Here's how it works: The first time a med is given, a CDS pop-up occurs when the nurse scans the bar code of the med; this pop-up screen does the following 3 things... 1. rerminds the nurse of the 1st dose of a new med, need to educate the patient/print the drug info sheet, and monitor for side effects 2. requires the nurse to document who was taught (patient, spouse, care-giver, etc.) 3. requries the nurse to document level of understanding. We instituted 3 weeks ago, and seems to be going well. It's not a big hassle for the nurses as they can document right @ time of 1st dose. They don't have to go somewhere else to document. The nurse documentation becomes a part of the history of the medication order. The next time the med is given, the CDS query does't re-occur, since the program searches for the generic name of the med. For example, the first dose of coumadin, the nurse gets the CDS screen. When the doses changes (often daily), the query doesn't show again, since it's the same drug (generic name), even though the dose keeps changing. Contact us if you are interested. I have a fantastic/visionary staff pharmacist who figures out most of these types of issues- I'm blessed. Steve Goodner, Pharmacy Mgr. St.Luke's Rehab Institute Spokane, Wash. 509-473-6502 [EMAIL PROTECTED]
-----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of David S. Dickason Sent: Friday, April 27, 2007 9:54 AM To: [email protected] Subject: [MEDITECH-L] eMAR 1st dose Has anyone had any experience in the eMAR with electronic, 1st dose documentation? I understand this is something JCAHO will be looking at closely. David Dickason RN Nursing Informatics Specialist ThompsonHealth Canandaigua, NY 585.396.6041
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