[MEDITECH-L] Standard dosing times and CPOE

[Christine Murray]

Hello -
We are client server.  We are currently up with EMAR/BMV and have recently kicked off our CPOE implementation.  We have standard dosing for every 6 hours, 8 hours, etc for which we use Q6S/Q8S as directions as opposed to our Q6H/Q8H which starts from now.  We are struggling with this in light of CPOE, the physicians do not like the Q6S/Q8S and want to just use Q6H/Q8H, they feel it is more in tune with appropriate abbreviations as well as being easier to use.  We are hoping to get insight from any of you who have been successful with standard dosing times and have implemented CPOE as to how you have handled this.  We are on CS 5.5.4 SR 20, so if there is anything new to this with 5.6 or 6.0 unfortunately it won't address our immediate needs.  Thank you for your help and ideas! 

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[Rober...@ncmc-hospital.com]

We are up with CPOE and have used the Q6H, Q8H format but attached our standard times to them. If a Physician wants something that is Q6H from now we have trained them to instead utilize Q360M. These standardized times correspond with our Pharmacy policy on standardized administration times. Hope this helps.

Robert Conn
Clinical Analyst, Information Technology
North Cypress Medical Center
21214 Northwest Frwy
Cypress, TX 77429
(tel) 832-912-3908
(cell) 832-746-1075
email: Rober...@NCMC-Hospital.com

[White, Scott A]

Hello all,

We've been using the "hidden password" setting for a few years and
believe we are
ready for the next step - encrypted passwords.

Does anyone know of the down-side of using this method? Aside from
having to reset
user's passwords each time someone forgets, are there any other
concerns/problems?

We are MAGIC 5.61 in live and 5.63 in our test system. We have
biometric finger print
scanners at most clinical workstations.

Thanks in advance,
Scott

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[Deignan Marianne]

With our experience I would caution against ANYTHING where you need to train providers on something specific if you can possibly avoid it. There are enough places in CPOE where you really need to train them to do something a specific way and it's not intuitive and it can't be avoided. I would save the provider bandwith for places where it is really needed and leave anything that can be intuitive.

Also for directions, bear in mind that down the road you might like to be able to have providers convert medications to scripts. The directions will convert also and if they are something unusual that Dr. First or a pharmacist will not recognize, you might end up having to make a change again.