My biggest issue with the Meditech's cosign function, is that the prompt appears after filing, which follows administration of the med. This requires the nurse to show the medication to the cosigner, go administer the med, and then have the cosigner enter their data. This has lead to documentation of administration at the med station PRIOR to administration. This is a violation of the policy. Basically, cosign is backwards? There is also no reasonable way I have found to apply pediatric cosign to a med. I understand that this function is unchanged in 5.6.
David Dickason RN
Nursing Informatics Specialist
ThompsonHealth
Canandaigua, NY
585.396.6041
-----Original Message-----
From: [email protected] [mailto:[EMAIL PROTECTED] On
Behalf Of Davis Daniel - Southern Hills
Sent: Thursday, May 03, 2007 3:04 PM
To: Witt, Sharon L.; [EMAIL PROTECTED];
[email protected]
Subject: RE: [MEDITECH-L] Med documentation of High Alert
Meds...
I believe you can limit the number of high risk meds that you
require the signature on and make this work. I don't believe it is best
to design the process to allow/encourage poor behavior. If you are
using BMV then you should be preparing the meds at the bedside. So, if
that is happening how can an RN/LPN verify that med except at the
bedside.
The whole purpose of BMV and eMAR is patient safety. If you
circumvent that what do you have?
Daniel Davis
_____
From: [email protected] [mailto:[EMAIL PROTECTED] On
Behalf Of Witt, Sharon L.
Sent: Tuesday, May 01, 2007 5:14 PM
To: [EMAIL PROTECTED]; [email protected]
Subject: RE: [MEDITECH-L] Med documentation of High Alert
Meds...
Please post.
We are currently using Emar and just document that it was
verified by an RN/LPN - Y/N. We changed this when going to BMV because
of the difficultly of needing someone at the bedside otherwise.
I am currently involved in another project looking at this very
topic and it would be great to know what others are doing.
Sharon
_____
From: [email protected] [mailto:[EMAIL PROTECTED] On
Behalf Of [EMAIL PROTECTED]
Sent: Monday, April 30, 2007 6:24 PM
To: [email protected]
Subject: [MEDITECH-L] Med documentation of High Alert Meds...
Either on paper or electronically, do you require a "co-sign" on
High Alert Meds?
If so:
1. Briefly, which meds are considered HA at your site
2. If electronically, do you require a PIN or just the User
ID
If not, does your site have nursing use a non-documented visual
verification of any meds (insulin, peds doses, etc.)?
Thanks to all - Kevin.
Kevin McConnell, PharmD.
Clinical Consultant
(713)480-6810
[EMAIL PROTECTED]
<http://www.RPhInformatics.com>
<http://www.RPhInformatics.com>
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