RE: [MEDITECH-L] (no subject)

[Stone, John]

This is strange. At my last place we were CS and had 300 plus thin
clients and we had no issues with EMR/PCS/BMV. Meditech told us that
they were supported. Meditech seems to be inconsistent with Supported
and Unsupported devices. They tell one customer something and the next
something else.

John Stone
Technical Services Manager
Fairmont General Hospital
304-367-7389
jst...@fghi.com

"Is there anything else I can do for you?"

-----Original Message-----
From: meditech-...@MTUsers.com
[mailto:meditech-...@MTUsers.com] On Behalf Of Jim Johnson
Sent: Friday, October 20, 2006 11:14 AM
To: Derrick Goode; medit...@MTUsers.com
Subject: RE: [MEDITECH-L] (no subject)

We went live last year with CS 5.4. Everything went live except PCS/PCM.
We had a significant deployment of thin clients and Meditech warned us
that they do not support thin clients and especially warned us about
using them with the EMR. We de-installed all of our and replaced them
with small foot-print PCs...

They will work with Meditech but they will always be suspect since they
are a non-supported device. Maybe things have changed since then ...

-----Original Message-----
From: meditech-...@MTUsers.com
[mailto:meditech-...@MTUsers.com] On Behalf Of Derrick Goode
Sent: Wednesday, October 18, 2006 10:40 AM
To: medit...@MTUsers.com
Subject: [MEDITECH-L] (no subject)

We would like to use Thin Clients for our NUR applications which will be
connecting via Citrix servers.

When you restrict nurses by location how do you control Printing for
(HERE)
type of Reqs for both NUR and OE?

How do you control access for the nurses since all PC are managed in the
Location dictionary ?

Best way to go about this?

Thanks,

Derrick Goode
Elk Regional Health Center
763 Johnsonburg Rd.
St.Marys PA 15857
F - 814-788-8076
W- 814-788-8661

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[Stone, John]

Gale,

You are correct about Meditech using the client connecting versus the
server. In the process Meditech takes the client name from the RDP
session and this is what it uses. If you launch Meditech on the
Terminal Server from an RDP session right click the top window bar and
do About and you should see the client name. If not there is a DTS that
needs to be dropped so that Meditech picks up this name.

As far as printing the best thing that I found is to use your Microsoft
Windows Print server and script the clients with the correct printers.
To do this you need to create your laptops/thin clients with public
login accounts or if you have your individual nurses log in put them
into a group. For example: laptop1 is assigned to 4 east. The login
for the account is 4eastlaptop1. Put this into a Windows Group called
4east. Create a log in script on the terminal server using a couple of
Microsoft tools Con2prt.exe and ifmember.exe (Copy them into the
system32 directory under windows). When the user logs in ifmember.exe
will look to see if they are in the 4east group and assign it
\\printserver\4east printer and set it as default. See script example
below:

ifmember.exe "domain\4east"
if not errorlevel 1 goto skip4east
con2prt.exe /cd \\printserver\4east
:skip4east

Again this will set the 4east printer as the default printer for this
user.

One caveat that I have seen with thin clients and the client/location
dictionary is to make sure the hostname on the thin clients is
consistent with your client dictionary. If they are uppercase in MT
client dictionary make sure they are uppercase on the thin client. I
have seen issues especially with OE and STOs not printing to HERE if
this is how you have them setup.

Hope this helps.

John

John Stone
Technical Services Manager
Fairmont General Hospital
304-367-7389
jst...@fghi.com

"Is there anything else I can do for you?"

-----Original Message-----
From: meditech-...@MTUsers.com
[mailto:meditech-...@MTUsers.com] On Behalf Of Freeman, Gale
Sent: Friday, October 20, 2006 11:07 AM
To: Derrick Goode; medit...@MTUsers.com
Subject: RE: [MEDITECH-L] (no subject)

We havent started restricting our nurses by location yet , but we will
be. We just started using the
Thin clients also .
Its my understanding the printing process looks at the client your using
for the printers, not the
Server.

If you restrict by location , you shouldn't have a problem if your
client being used is in the
Location dictionary in the same location as the patient being worked on.
If the patient is on 4 East,
For example, but the laptop being used is in the dictionary as being on
3 East, then the system
wont let the nurse in if she/he is restricted by location. It basically
means only let the user
See the patients that are on same location as this computer.

If the client is in 4 East location dictionary and the patient is there
too, then there wont be an issue.
We have problems here with mobile laptops that staff move to different
floors , but don't tell the IS
Dept, and I am worried that it will be a problem because the dictionary
wont be updated .
The nurses will get frustrated because they don't have any idea that the
computer isnt set up for
That location.

Let us know how it works out for you.
Galey

[Freeman, Gale]

I just read in the TEST5.5 sr 2 dts that there is a new parameter called Access Prev Pt Loc _ Hrs After Xfer.

 

this was create in MIS rto allow users temporary access to a patient's prior location. The number entered

in this paramter represents the number of hours during which a patient can be accesssed by both the

transferrring and receiveing locations.

 

there is also new field added to the MIS facility dictionary for same thing.This one overrides the Access

Prev Pt Loc .

The dts is CS MIS 4344.

 

I think this will make it a lot easier. I guess we will see what happens.

 

Galey

-----Original Message-----
From: Kuse, Nancy [mailto:NK...@lakeregional.com]
Sent: Monday, October 23, 2006 10:13 AM
To: Freeman, Gale
Subject: RE: [MEDITECH-L] (no subject)

It was a big problem at our facility so all nursing except Skilled Nursing Unit, Obstetrics and Nursery have access to all locations.  Skilled Nursing, OB and Nursery are "separate" in that they don't have transfers in from other units so they are restricted to accessing only their specific locations.  I would atleast look into the documentation issue with nursing before implementing.  Better now than later!

 

We also did not restrict our "mobile carts" to location because they may get moved to another location as "temporary replacement loaner" if a unit has a mobile cart "go down".

 

Nancy Kuse, PMP

HIS Project Coordinator

Lake Regional Health System

54 Hospital Drive

Osage Beach, MO  65065

(573)348-8793

(573)348-8122 (fax)

 

-----Original Message-----
From: Freeman, Gale [mailto:gfre...@shsny.com]
Sent: Monday, October 23, 2006 9:00 AM
To: Kuse, Nancy
Subject: RE: [MEDITECH-L] (no subject)

 

If the patient hasnt been transfered in the system yet, it shouldnt be a problem. We arent live yet with these

changes. We hope to have the documentation done before the patient is transfered in the system. Otherwise

the nurse would have to go to go to the new patient location and use one of the computers there.

Is not getting the documentation done before patient leaves the floor a big problem we should look for ?

-----Original Message-----
From: Kuse, Nancy [mailto:NK...@lakeregional.com]
Sent: Monday, October 23, 2006 9:56 AM
To: Freeman, Gale
Subject: RE: [MEDITECH-L] (no subject)

What about patient transfers.  If the patient transfers to a location that the nurse does not have access to and she has not completed her documentation, how will does the "transfer from" nurse access the patient record to complete documentation?  Have you run into these issues yet?

Nancy Kuse, PMP
HIS Project Coordinator
Lake Regional Health System
54 Hospital Drive
Osage Beach, MO  65065
(573)348-8793
(573)348-8122 (fax)

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[Delsesto, Marc]

Morning L'ers,

Quick question regarding the Summary Panel;

Have any of you noticed that "deactivated" medications in Pharmacy appear
under the Active medications header on the Summary panel.

Obviously, it doesn't make much sense that a "deactivated" medication is
listed as "active", but Meditech seems to think that it makes absolute
perfect sense. I just want to get a sense of what my peers think and whether
or not they have encountered this in the past.

Thanks for your time!

Marc DelSesto

---------------------------------------
Marc DelSesto
Applications Analyst
Saint Joseph Health Services of RI
200 High Service Avenue
North Providence, RI 02904
v. 401.456.3426
mdel...@saintjosephri.com

[June Emrick]

We have had this issue in the past where the patient was transferred but the transferring nurse still needed to finish up her documentation; the majority of our users are restricted by location. This made the nurse go to the location where the patient was currently located in order to finish her documentation. We are currently Magic 5.5 SR 3 and were able to set our parameter to 12 hours after discharge in MIS. This works great as long as the transferring nurse finishes her documentation before she leaves for the day.

 

As regards printing, we print to the patient's current location and have set up printers in the location dictionary so it doesn't matter where the nurse is documenting from, it still goes to the printer where the patient is located. We do have mobile computers which are primarily either on our M/S units or CCU and they are set up in the location dictionary to all three locations. Therefore, even if a nurse is restricted by location, she still could access any patient at these three locations but cannot access other patients (ED, Rehab, Maternity, etc.) unless transferred off one of these three units in the past twelve hours.

 

I hope this is helpful.

 

June Emrick, RN
Patient Documentation Systems Nurse
Johnson Memorial Hospital
Franklin, Indiana

jem...@johnsonmemorial.org
Phone: 317-738-7811
Pager: 317-301-9978

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This email originated from Lake Regional Health System. This email message, including any attachments, contains confidential information which is intended only for the use of the individual or entity named above. If the reader of this email is not the intended recipient or agent responsible for delivering it to the intended recipient, he/she is hereby notified that you are in possession of confidential and privileged information. If you have received this email in error, please notify the sender immediately. State and federal law prohibits you from making further disclosure of this information without specific written consent of the person to whom it pertains, or as otherwise permitted by law.

[NUR Meditech-L Account]

Is anyone using a Home Health Care product that interfaces with Meditech
that is not PTCT? If so, what vendor and would you be willing to discuss
your experience with this vendor?

Thank you,

Julie Liersch

Jasper County Hospital

[Brenda Wiley]

What we've discovered (just been LIVE w/ BMV and eMAR
for a week) is that the 'Next Med Due' shows instead
the last drug pulled from the omnicell.

If the patient has not had any omnicell dispensed
meds, then this box shows the next med due.

Meditech is looking for a DTS ....

Brenda Wiley, RN
Transylvania Community Hospital, Inc

--- "Delsesto, Marc" <mdel...@saintjosephri.com>
wrote:

> Morning L'ers,
>
> Quick question regarding the Summary Panel;
>
> Have any of you noticed that "deactivated"
> medications in Pharmacy appear
> under the Active medications header on the Summary
> panel.
>
> Obviously, it doesn't make much sense that a
> "deactivated" medication is
> listed as "active", but Meditech seems to think that
> it makes absolute
> perfect sense. I just want to get a sense of what my
> peers think and whether
> or not they have encountered this in the past.
>
> Thanks for your time!
>
> Marc DelSesto
>

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