With our previous bar-coded medication administration system, we used a handheld device exclusively for documentation. The screen size was an issue for the nurses. They had to use their stylus, or heaven forbid, their pen to scroll down and over to see all of the information, especially when acknowledging a med. Another issue with the handhelds was the many trips back and forth to the med room to retrieve meds. With the med COW's that we currently use, they have a place to securely store their meds during a med pass, eliminating frequent trips to the med room. But there were advantages to the handhelds. We could place a plastic bag over them when in an isolation room and not worry about contaminating the keyboard. They were also very convenient for documenting a prn. Now that we have switched to BMV, I'd like to have a few handheld devices for these purposes, but continue to use COW's for general med passes and acknowledging meds.
Kim Frick, RN Project Coordinator Licking Memorial Health Systems Phone: 740-348-4114 Fax: 740-348-4769 [EMAIL PROTECTED] www.LMHealth.org -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of O'Briant, Deborah L Sent: Thursday, July 12, 2007 4:20 PM To: [email protected] Subject: [MEDITECH-L] e-MAR, BMV, and wireless What do the nurses think of trying to see all of the pertinent data necessary on that little screen? The smaller the screen, the more you have to scroll up/down/side to side. This becomes an even bigger issue in critical care units, where there is more data to assess before deciding if it is appropriate to administer a med given the health status of the patient. It may also be an issue for seasoned nurses whose eyesight isn't as good as when they first started in the nursing profession. So, there are +/- for both the desktop and handheld devices. UPS, FEDEX and Walmart are tracking inventory (whether it is being shipped or on shelves). They are not having to make critical thinking judgments based on the information displayed on their little screen. I REALLY like the Cardinal Health Solution, btw. I just keep hearing the screen size issue by nurses who have used the handhelds in ICUs at other hospitals. _____ From: Duckworth, Russell D Sent: Wednesday, July 11, 2007 4:03 PM To: O'Briant, Deborah L Subject: FW: [MEDITECH-L] e-MAR, BMV, and wireless ------------------------------------------- From: [EMAIL PROTECTED] on behalf of McBride, Dan[SMTP:[EMAIL PROTECTED] Sent: Wednesday, July 11, 2007 3:53:37 PM To: Bill Mullins; David S. Dickason; [email protected]; Charlie Downs Subject: Re: [MEDITECH-L] e-MAR, BMV, and wireless Auto forwarded by a Rule Some hospitals have achieved that goal. We are in the process of implementing Cardinal Health CareFusion and it does use a wireless handheld device. CareFusion provides the interface to MEDITECH. You want to make sure your wireless network is tested with the device you choose to use. Care Fusion currently supports 2 different devices. We are using the Symbol MC70 which has a QWERTY keyboard and a 2D barcode scanner. The other device is the Symbol PPT 8846. We are using it for phlebotomy specimen collection and blood transfusion verification. We also plan to use it to document vital signs and medication administration. Dan McBride Newman Regional Health Emporia, KS _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Bill Mullins Sent: Wednesday, July 11, 2007 1:59 PM To: David S. Dickason; [email protected]; Charlie Downs Subject: Re: [MEDITECH-L] e-MAR, BMV, and wireless I always wondered why Fed Ex and UPS had a small handheld scanner and computer that worked and hospitals still cannot achieve that goal? _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of David S. Dickason Sent: Wednesday, July 11, 2007 9:49 AM To: [email protected]; Charlie Downs Subject: Re: [MEDITECH-L] e-MAR, BMV, and wireless I don't want to seem impertinent, but be careful with terminology. It is MEDITECH that is not up to the technology, not the other way around. How many times have you seen wireless handheld scanners in stores, used for stocking and inventory, or even at the registers? There are blue tooth barcode readers that will talk directly to your wireless laptop or PC for BMV, eliminating the tether. There are secure digital (SD) cards that you can put into a handheld device (Axiom, iPaq, etc) that have barcode readers on them, turning your basic handheld into a scanner. Meditech just has not accommodated this technology yet. Then again, their user interface is only 30 years behind. My 2 cents, Dave Dickason Informatics Nurse Thompson Health Canandaigua, NY _____ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cindy Snyder Sent: Friday, June 29, 2007 9:42 AM To: [email protected]; Charlie Downs Subject: Re: [MEDITECH-L] e-MAR, BMV, and wireless Hello Charlie: There are hospitals that use wireless carts with BMV. However, there is not the technology to use a hand-held such as a PDA with a scanner. Is that what you are thinking of? Or, yes, you may be correct, that the cart is wireless but the scanner is tethered. One word of caution regarding the use of wireless bar code scanners. The nurses (of course not technical) may try to use one scanner with several PC's, which will not work. I hope this information is helpful. Have a great day. Cindy Cindy Snyder RN Clinical Systems Analyst Howard Regional Health System Kokomo, IN 46901 (765) 453-8321 The opinions expressed in this e-mail message are those of the author and may not be representative of Howard Regional Health System or affiliates. This e-mail message and attachments, if any, may contain confidential or privileged information. If you are not the addressee or authorized to receive this message for the addressee, you must not use, copy, disclose, or take any action based on this message, any attachments to this message, or any information herein. If you have received this message in error, please advise the sender immediately by reply e-mail and delete this message in its entirety. >>> "Charlie Downs" <[EMAIL PROTECTED]> 6/27/2007 8:18 AM >>> Our hospital has made the commitment to going wireless. I have been given the task of identifying any special needs related to the e-MAR and BMV. From what I understand, Meditech does not currently have a wireless BMV; I've heard the first of the year, but does anyone know for sure? Also, I thought that wireless hospitals were using the e-MAR and BMV. If BMV is not wireless, how are the wireless hospitals out there doing BMV? My guess is that the PC is wireless but the scanner is tethered to the wireless PC? I don't know a whole lot about wireless, so any specifics that I could take back to the committee would be helpful. Thanks, Charlie Charles Downs PharmD Washington County Hospital 251 E. Antietam Street Hagerstown, MD, 21740 301-790-8904 ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. 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