Maria, There have been lots of great solutions proposed for this issue. Here are some more thoughts on it:
1) The Plan of Care function within the NUR module may not be able to handle every instance of Care Planning that you need to handle. So, some facilities have taken the approach that the POC encompasses more than just what Meditech labeled ages ago the Plan of Care. If your POC also includes a print profile or some other CDS or NPR report then if someone other than an RN initiates the POC part in Meditech, it might be argued with reviewers that that does not indicate that they "started the POC". Especially when if you add interventions through query linking so they are all attached to a problem and outcome, then LPNs or RT or who ever will have their names attached to adding to the POC. 2) If your initial POC is built in a predefined way that includes appropriate minimal documentation tools that you would need on nearly anyone who is in your facility, then that POC might be able to be initiated separately from any assessment of the patient for POC additions. Some facilities have used a "Quick Start" intervention that identifies the patient's age and where they are going in the facility. Then a base set of interventions are query linked so that folks can document on the patient prior to having time to do the Admission History or Admission Assessment. 3) Yes, it does make sense to separate what an LPN is allowed to document from what requires an RN. There is no way that an RN can easily co-sign for someone else's assessment that was done an hour ago or what ever. I don't see that any duplication of questions happens when the two are separated. For instance, on the history you would ask do you use a hearing aid. On the assessment you would ask, do you have that hearing with you. Those are two different bits of information. If there is information from one form that could be helpful on the other form then a simple attribute could pull it across so the second person simply verifies that it is still true. Daniel Davis ________________________________ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Maria P. McPherson Sent: Thursday, August 02, 2007 10:24 AM To: [email protected] Subject: [MEDITECH-L] query linking diagnosis to care plans frominterventions For those of you out there that use query links to add diagnosis to the care plan, how do you accomplish adding a care plan on the admission assessment by triggering diagnosis if the nurse is an LPN? Do you have an RN review the care plan chosen by the LPN and document a note, etc..? Maria P. McPherson, RN Nursing Informatics Analyst Columbus Regional Healthcare System 500 Jefferson Street Whiteville, NC 28472 910-641-8259 mailto:[EMAIL PROTECTED] Confidential Information belonging to Columbus Regional Healthcare System may be contained in this message. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please delete and notify the sender immediately.
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