I agree with Michael, in my mind, EMAR/BMV performed correctly helps
perform the 5 rights for the nurse.
Nothing can replace a careful/thoughtful/professional nurse's practice
(not even a computer)...
RIGHT:
Med (Scan Med)
Dose("",may have to scan 2 unit doses and manually adjust dose (ex.
Order is Vicodin 7.5 mg, scan 2 5mg tabs, must manually erase the 10mg
and enter 7.5 and enter reasons why your adjusting the dose).
Route
Patient (scan armband)
________________________________
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Sharon LaDuke
Sent: Friday, July 06, 2007 10:34 AM
To: Gay, Michael C.; Keri Heavin; [email protected]
Subject: Re: [MEDITECH-L] nursing staff ratios after implementation
Interesting. If that's the case at other facilities as well, could it be
that one reason some nurses take longer with electronic BMV is that they
continue to do at least some part, if not all, of the 5 rights manually?
Now that I think of it, that's what I was doing. Is that wrong? Are we
supposed to teach nurses to stop that? Are there any worries about them
"unlearning" the manual checking process? Sharon
________________________________
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gay, Michael C.
Sent: Friday, July 06, 2007 6:35 AM
To: Keri Heavin; [email protected]
Subject: Re: [MEDITECH-L] nursing staff ratios after implementation
Keri,
When a nurse is forced to do the 5 rights of medication administrations,
either by a another person or a automated system, it will take longer
than current practice. At our site, we did time studies in which we
followed nurses and had him/her do the 5 rights. We found that the
automated (Meditech BMV) process was quicker than the nurse actually
doing the 5 rights.
Michael Gay, RN, BSN, MS
Clinical Analyst
Frederick Memorial Healthcare System
(240) 566-3201
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Keri Heavin
Sent: Thursday, July 05, 2007 4:07 PM
To: [email protected]
Subject: [MEDITECH-L] nursing staff ratios after implementation
We are currently having discussions about changing our staffing
ratios since we have implemented NUR and eMAR/BMV. I am wondering if
there are any sites that faced this same issue after they implemented.
Our nurses continue to express that Meditech documentation in
combination with all of their other nursing duties has made their load
to heavy with their current ratio of patients.
Keri Heavin, BSN RN
Nursing IT Coordinator
Phelps County Regional Medical Center
Office: 573-458-7842
Pager: 573-428-6057
Fax: 573-458-8563
________________________________
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