We have the RT staff administer the respiratory meds and document them on the paper MAR - we started this after the docs complained that they couldn't see when RT meds were administered, particularly the PRN administrations. We are readying the eMAR for implementation this fall. To facilitate this, we built two new order types in PHA (RESP-BULK and RESP-REG) to allow the RTs access to document respiratory med administrations only. It didn't take much effort to set this up. We also built a print notification function through Meditech that prints a notification of new RT medication orders to a printer in the Cardiopulmonary office. Once the order files in PHA, the notification is generated, whether the order comes from POM or PHA. The notification function was time consuming to build, but it works well. No missed RT med administrations. Sarah B. Nash, R Ph email: [EMAIL PROTECTED]
________________________________ From: [EMAIL PROTECTED] on behalf of Witt, Sharon L. Sent: Thu 7/5/2007 1:06 PM To: Sharon LaDuke; Freeman, Gale; [email protected] Subject: Re: [MEDITECH-L] Respiratory meds and BMV / eMAR We haven't had any problems with RT not documenting their meds on the Emar. Long, long ago, when starting OE, we created an RT ROS order. When RT orders are written, a HUC or Nurse enters a ROS order for RT with the details of the order. RT has a screen where they enter their info and then print a NPR worksheet. They document their treatments via an Intervention. When we added the Emar, the only thing we did was to include RT in the Emar training. They scan their meds before administering just as nursing does. They use the Status board as well but currently see all meds. Pharmacy didn't want to create a separate order type for RT meds. We kept everything else the same as before. What was your process before the Emar for notifying RT that they had meds? Or did you have problems then as well? ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Sharon LaDuke Sent: Wednesday, July 04, 2007 9:21 AM To: Freeman, Gale; [email protected] Subject: Re: [MEDITECH-L] Respiratory meds and BMV / eMAR What I've seen is that Pharmacy not only puts the meds on the eMAR, they enter an RT order in OE which prints to the RT office. However, my experience has been that even so, it can be difficult to get RTs to be compliant with documenting their treatments in eMAR, or if they do, to get them to scan first. Sharon ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Freeman, Gale Sent: Tuesday, July 03, 2007 1:12 PM To: [email protected] Subject: [MEDITECH-L] Respiratory meds and BMV / eMAR Just wondering how other places are handling this issue....we are C/S 5.5 sr 2 . We are missing some respiratory med doses because here our respiratory staff give the respiratory meds, but frequently do not know who needs the med or when it is to be given. We do use BMV and eMAR here but because these meds are given by Respiratory , the nursing staff does not do anything with these meds including notifying Respiratory. Respiratory does not have a way to see who in the building needs respiratory meds, unless they look at every patient eMAR . The problem is when Pharmacy orders a handful of specific meds that respiratory dept is responsible to give the patient, we do not have a way in the system to notify respiratory that the meds are due or ordered. Does anyone else have this issue ? If so , how are you getting notified ? Galey Gale Y. Freeman SMC MIS Dept Clinical Analyst 315-785-5751 [EMAIL PROTECTED] This electronic message is intended only for the individual or entity to which it is addressed and may contain information that is confidential and protected by law. If you are not the intended recipient of this e-mail, you are cautioned that use of its contents in any way is prohibited and may be unlawful. If you have received this communication in error, please destroy it and notify the sender immediately by e-mail.
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