Daniel's comments about bedside medication prep and verification resonate with me. I worked at a facility that had had eMAR/BMV for 3 years. Nurses did things like open all the meds and remove them from their packaging somewhere other than the patient bedside, and scan patient labels instead of the wristband. They were completely circumventing the purpose of BMV. They did it because they perceived that it saved time, and most of them really had not thought through the threat, not only to patients, but to their own licenses. The facility recently put a big emphasis on retraining the nursing staff to use the system properly. With all nursing directors, Pharmacists and even Administrators involved, and weekly medication safety meetings to discuss scan rates and plan followup with noncompliant nurses, things turned around in a hurry. I believe the cycle of nurses training new nurses to do things incorrectly has been broken at that hospital. Sharon
-----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Davis Daniel - Southern Hills Sent: Thursday, May 03, 2007 1:04 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] www.RPhInformatics.com <http://www.RPhInformatics.com> <http://www.RPhInformatics.com> =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.NET. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] Visit the MTUsers WikiPedia at MTUsers.NET/mwiki ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
