[MEDITECH-L] F5

[Hutwagner, Peggy]

Good afternoon,

Has anyone had any success in disabling the F5 key in Magic 5.6? I have
tried several attributes and macros from various web sites but nothing
seems to work. Thanks

peggy hutwagner

Clinical Informatics

718-907-8350

[Allen, Brian]

Have you tried super glue... works here.

Seriously, Dan Davis gave a detailed response to this very thing, which
you can find via the Iatrcsys.com meditech-l archive... here is the
link:

http://www.iatric.com/information/ViewMeditechL.aspx?MeditechLID=6311

Thanks,
Brian

Good afternoon,

peggy hutwagner

Clinical Informatics

718-907-8350

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[Amber Holcombe]

Here's my 1 cent thought for the day.... Have your IT department pull
the key from the nursing keyboards. It serves no other function and
this solution is maintenance free!

Now you can see why the thought was only worth 1 cent... :)

-----Original Message-----
From: meditech-...@mtusers.com
Sent: Monday, June 29, 2009 1:42 PM
To: medit...@MTUsers.com
Subject: [MEDITECH-L] F5

Good afternoon,

Has anyone had any success in disabling the F5 key in Magic 5.6? I have
tried several attributes and macros from various web sites but nothing
seems to work. Thanks

peggy hutwagner
Clinical Informatics
718-907-8350

====================================

[Ganesh Seshadri]

I have been asked to post this; please reply to the list and I'll
forward your response over:

I would be interested in knowing how your facility uses the UN-DO
function for inpatients.
How do you keep users from "UN-DO"ing too far and eliminating Nursing
documentation?
Who has access to this function?

Background: a patient was discharged in error by a clinical over the
weekend and the few people who have access to undo were not available.

Ganesh Seshadri
Analyst, Indiana Regional Medical Center
(724) 357-7012

[Lovelace, Chuck E]

This is what I am using in 5.62 and it works great.

Change your query mnemonic in quotes accordingly.

Disable Recall - this query only

IFE=IF{gxx^/CDS,"N"^/F5["your.query",/CDS],
IFE=%MIS.zcus.library.M.disable.exit.and.recall(""),1}

Disable Exit - this query only

IFE=IF{gxx^/CDS,"N"^/F11["your.query,/CDS],
IFE=%MIS.zcus.library.M.disable.exit.and.recall(""),1}

Disable both Recall and Exit - this query only

IFE=IF{gxx^/CDS,"N"^/F5["your.query",/CDS],"N"^/F11["your.query",/CDS],
IFE=%MIS.zcus.library.M.disable.exit.and.recall(""),1}

MACRO: I did not change the S.LAST.QUERY, and it works fine.

"MIS.zcus.library.M.disable.exit.and.recall"^/S.READ.PGM,
IF{@Z.lastkey=146 IF{/F11[/S.LAST.QUERY,/CDS] @MSG1,13^/Z;
%NUR.PC.WORK.recall.queries(A,B,C,D)};
@Z.lastkey=145 IF{/F5[/S.LAST.QUERY,/CDS] @MSG2;
%NUR.PC.WORK.recall.queries(A,B,C,D)}};

MSG1
@W.err(" ATTENTION: The 'Exit Key' cannot be used at this time. ")

MSG2
@W.err(" ATTENTION: The 'Recall Key' cannot be used at this time. ")

Have a good Day, Chuck
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 - Chuck.L...@ministryhealth.org

----Original Message-----
From: meditech-...@mtusers.com
Sent: Monday, June 29, 2009 1:42 PM
To: medit...@MTUsers.com
Subject: [MEDITECH-L] F5

Good afternoon,

Has anyone had any success in disabling the F5 key in Magic 5.6? I have
tried several attributes and macros from various web sites but nothing
seems to work. Thanks

peggy hutwagner
Clinical Informatics
718-907-8350

CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation.

[Kihm, Marie C.]

Hi Peggy,
Our site just disabled the F5 key completely in NUR documentation this
week! We are Magic 5.62.

It was a request of nursing administration due to staff mindlessly
cruising through assessments and some sporadic poor documentation
findings, which were probably border line of legal concern.
Unfortunately 1:1 counseling was not working and it was a global
problem. It seemed ill advised for us to just state that it was an
accountability issue alone. We felt we were being negligent as
healthcare leaders if we did not focus on becoming risk averse and
recognize when an element in our practice that is inherently flawed or
too easily misapplied was being used daily; particularly when some poor
documentation incidents could have been avoided or paused the clinician
had the F5 option not existed - kinda like the time out in surgery.
Because many clinical staff were misusing or depended on the F5 recall
function led us to think that the underlying purpose of F5 was too
easily morphed into a time saver which was not its original intended
use.

It took us a few months to plan the F5 disable as nursing was not used
to viewing the information from the previous documentation under View
History. We also knew they liked to copy one another's comments, word
for word or add an 's' or period if we had an attribute that warned
against the same comment with F5. The general argument was the nurses
quickly F5 through the screens, and F5 disable will cause overtime and
fragmented charting. So we took some time to add just a few attributes
(less than 30) that with <enter> will default the last response similar
to F5. Because most professional staff will document accurately, we
created a committee and the fields that needed an attribute fix with the
F5 removal were added and tested. Most were locations such as IVs,
wounds, drains, and due dates for tubing changes, last BM, etc for
continuity of documentation. None of the attribute fixes were for an
assessment value that the nurse should be documenting per her unique
assessment.

Below are the attributes we used in place of F5:
To default a single response query like F5:

DFT=@p.ADM.PAT.ccdqr.response["QUERY"]

Defaulting previous responses to multiple line queries was difficult,
however I used the below attribute and it is working well. Thanks to
Kenny Whiteside for his post on the L-list with this one.

IFE=IF{+/[ANS%0,"QUERY"]M[""];
IFE=""^ZX,
IFE=DO{+(*AA.CCDQR[@t.ADM.PAT.urn,"QUERY"]M
IFE=[ZX],ZV)^ZX ZV|0^/[ANS%0,"QUERY"]M[ZX]|0,
IFE=IF{ZX'>2 P(R-1+ZX,S,ZV|0:25L)^#}},
IFE=DO{ZX'>2 P(R-1+ZX,S," ":25)^#,ZX+1^ZX}},1

- Replace the QUERY with the desired query mnemonic whose responses are
to default.
- Change the two >2's in the last two lines to the number of lines in
your multiple query.
- The two 25's in the last two lines should be changed to the length of
your query.
- You may replace the 1 at the end with "" to make the response default
and not be editable.

Have a great holiday weekend.

Thanks,

~Marie Kihm, RN BSIT
Clinical Informatics Coordinator
CareTech Solutions, Inc.
http://www.caretechsolutions.com
Blanchard Valley Health System
1900 S. Main St., Findlay, OH 45840
Office: 419.423.5162
Fax: 419.423.5540
mk...@bvhealthsystem.org

"Whatever It Takes!"

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Hutwagner, Peggy

Sent: Monday, June 29, 2009 1:42 PM
To: medit...@MTUsers.com
Subject: [MEDITECH-L] F5

Good afternoon,

peggy hutwagner

Clinical Informatics

718-907-8350

====================================

Please do NOT send messages that ask "Please post to the list" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.

To UNSUBSCRIBE, go to http://MTUSers.net
for information.

The meditech-l archives (and other tips) can be found at
http://mtusers.net/zarchives

Job opportunities in the Meditech community can be found at
http://mtusers.net/zjobs

[Linda Barrett]

We have tried the parameter both ways and found we had to allow the undo if
outstanding issues in a clinical app. The access to that routine is
restricted to myself and the registration director, who must contact each
department and have them move their documentation first.

Linda Barrett
Vice President, Clinical Services/Information Technology
Community Hospital of Bremen
1020 High Rd.
Bremen, IN. 46506
Phone: 574-546-8005
email: lbar...@bremenhospital.com

-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com]
On Behalf Of Ganesh Seshadri
Sent: Monday, June 29, 2009 3:10 PM
To: medit...@MTUsers.com

====================================

====================================

Job opportunities in the Meditech community can be found at
http://mtusers.net/zjobs

[Carol A. Fulmer]

Everyone in my department has access to the Undo function. It is
stressed very heavily at training how important it is to use the
function properly.
As far as the parameter, ours is set so that an account cannot be
canceled if there are outstanding issues. We resolve the issues prior
to canceling. If the issue cannot be resolved, it is reviewed carefully
to identify the effects of canceling. If we are ok with it, we change
the parameter long enough to cancel the account and then change it back.

Carol Ann Lucas