I use attributes a lot to guide the nurse through the documentation. After I 
took this job, I quickly found out that many nurses had the mentality of "if 
the cursor lands on it, I'm supposed to answer it", even though we had a policy 
that stated blank spaces were acceptable when appropriate. I use attributes to 
skip queries, default responses, and total numbers to not only speed up the 
documentation but prevent them from entering incorrect information. I also have 
a few attributes (very few) that actually slow the user down, but they are used 
to prevent the user from making a mistake. Once nurses use Meditech for 
documentation, they tend to enter responses very quickly and sometimes their 
fingers are ahead of their brains. An attribute that states "Are you sure?" 
that they must respond "yes" or "no" to are intentionally designed to make them 
stop and think about what they entered. 
 


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 Davis Daniel - 
Southern Hills
Sent: Monday, July 23, 2007 11:02 AM
To: Lovelace, Chuck; Susan Graham; [email protected]
Subject: Re: [MEDITECH-L] NUR Assessment documentation and use of Attributes



It is probably no surprise to most on this list that we use attributes 
extensively at my facility.  The whole purpose of attributes is to allow you to 
finish out your system to the exact specifications of your facility.  So, they 
are not something that should be used just because you can.  As in any system 
design, you will want to evaluate where things need to happen and where they 
don't.  Your purpose in using attributes is to make the system work better, 
smarter, etc for the end users and patient care.  Pop up information boxes 
should be used when they make sense.  Defaulting information in should only be 
done where it makes sense.  Skipping queries should only be done where that 
makes sense.

I would disagree with my friend Chuck on one point.  Attributes to not allow 
you MAKE Meditech do what it should have been able to do in the first place.  
Meditech built into their product the capability to write specific attribute 
types and call macros.  So, Meditech built their product standardized to a 
specific point, and then provided spaces to add your own "third party 
programming" (which they should not have to try and support) that allows you to 
tailor the end product for your facility.  As you add that code you can 
certainly do things in there that can break things that Meditech has working 
correctly, so you must be careful how you write that code.  That is why I am 
glad that while there are multiple ways to write some attributes, many folks 
now share their attributes on the "L" in a more standard format that requires 
less editing - less chance for the newbie to mess up.

 

Daniel Davis


  _____  


From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lovelace, Chuck
Sent: Monday, July 23, 2007 9:35 AM
To: Susan Graham; [email protected]
Subject: Re: [MEDITECH-L] NUR Assessment documentation and use of Attribut es

 

If I removed my attributes from all my nursing documentation screens I would 
have a staff mutiny on my hands and fear for my life :-)

Attributes allow you to make Meditech do what it should have been able to do in 
the first place.  The only problem with using attributes that Meditech does not 
support, (about 80% of mine) is when they change the code for a new ring 
release, you have to figure out how to rewrite the attribute to use the new 
code, and they will not help you.

Chuck Lovelace, RN, Clinical Analyst 
Door County Memorial Hospital 
Information Systems 
323 South 18th Avenue 
Sturgeon Bay, WI 54235 
Office   920-746-3608 
Fax      920-743-6204 
Email - [EMAIL PROTECTED] 


  _____  


From: Susan Graham [mailto:[EMAIL PROTECTED] 
Sent: Friday, July 20, 2007 10:57 AM
To: [email protected]
Subject: [MEDITECH-L] NUR Assessment documentation and use of Attributes

 

Hello L List  NUR users,

 

We are a MAGIC site in the process of implementing NUR for the first time.  We 
are utilizing several attributes ( skip queries, pop-up boxes, etc.) on our 
admission and shift assessments in the hopes  that they will save clinicians 
time.

 

We are looking for validation as to the use of attributes, insight into the 
pros and cons because we are hearing that while they can be a time saver, they 
can slow staff down as well.  Thanks in advance for sharing any of your 
real-world  attribute experiences  (pro and con)with us.

 

Our plan includes the use of the Iatric VFS too.

 

Sue Graham

Clinical Analyst

Southcoast Health System

508-910-3843



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