[MEDITECH-L] Patient Resuscitation Status

[Bovard Kimberlie]

Hello,

We have been discussing a way to document a patients code status and
have it flow to the Nursing Status board.

This enhancement came from a previous release - we are Magic 5.61. Has
anyone done anything with this enhancement? If so, how?

THANKS!

Kimberlie A. (Kawinski) Bovard BSN, RN

Nursing Informatics Specialist

Kennedy Street Medical Arts Bldg

Meadville, PA 16335

814-373-3054

kbo...@mmchs.org

P please don't print this e-mail unless necessary.

----------------------------------------------------------------------
This message may contain Protected Health Information that is of a sensitive and confidential nature. It is being sent to you with the authorization of the patient or under circumstances where authorization is not required. You are required to maintain this information in a secure and confidential manner and are prohibited from re-disclosing it unless permitted by law. Unauthorized re-disclosure may subject you to federal and state law penalties.

[Bovard Kimberlie]

Hello,

We have been discussing a way to document a patients code status and have it flow to the Nursing Status board.
This enhancement came from a previous release - we are Magic 5.61.  Has anyone done anything with this enhancement?  If so, how? 

General Description
This enhancement introduces an optional MIS parameter, Patient Resuscitation
Status. If defined, it will enable a patient's resuscitation status to appear
in the patient header at the top of the screen in Clinical Review, RXM,PWM,NUR
and POM. The resuscitation status will display in red colored text below the
patient name to ensure users can quickly and easily access the information.

THANKS!

Kimberlie A. (Kawinski) Bovard  BSN, RN
Nursing Informatics Specialist
Kennedy Street Medical Arts Bldg
Meadville, PA 16335
814-373-3054
kbo...@mmchs.org

----------------------------------------------------------------------

This message may contain Protected Health Information that is of a sensitive and confidential nature. It is being sent to you with the authorization of the patient or under circumstances where authorization is not required. You are required to maintain this information in a secure and confidential manner and are prohibited from re-disclosing it unless permitted by law. Unauthorized re-disclosure may subject you to federal and state law penalties.

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

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

[Deborah Bergeron]

We are planning to use this in January.
MD Completes the Order form. Nursing Documents the status via an
intervention in NUR

Intervention: -Code Status/Limitations of therapy

CDS Has: 2 queries
Code Status:
Date Form Completed:

Code Query is a group response
Mnemonic Responses

FULL Full Code/ACLS
LIM See Limited Order Sheet
NO No Resuscitation/DNR DNI
NS Not Specified by MD

PCI section Created that displays this easily for the Docs

Hope that Helps
deb

> ------------------------------------------------------------------------

>
> ====================================
>
> 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 opportunites in the Meditech community can be found at
> http://mtusers.net/zjobs
>

--

Deb Bergeron RN BS CDE
Clinical Systems Analyst
Information Technology Department
Androscoggin Valley Hospital
59 Page Hill Rd
Berlin NH 03570

Phone: 603 326-5668
603 752-2200 ext 5668

Email: deborah....@avhnh.org

Meditech Magic 5.61 Site

[Linda Bulger]

We are Magic 5.61. We just use the code status query -- which is documented
on the Admin Data screen (transcribed from the doctor's order; we don't have
CPOE up yet). The query is in one of the fields of the NUR Status Board. The
fact that it's parameterized isn't important to this method. This was one of
our most popular "tweaks" to the SB.

Linda Bulger, Systems Analyst
Franklin Memorial Hospital
Farmington, ME 04938

-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com]
On Behalf Of Bovard Kimberlie
Sent: Tuesday, December 09, 2008 11:42 AM
To: medit...@mtusers.com
Subject: [MEDITECH-L] Patient Resuscitation Status

Hello,

We have been discussing a way to document a patients code status and have it
flow to the Nursing Status board.
This enhancement came from a previous release - we are Magic 5.61.  Has
anyone done anything with this enhancement?  If so, how? 

General Description

This enhancement introduces an optional MIS parameter, Patient Resuscitation
Status. If defined, it will enable a patient's resuscitation status to
appear in the patient header at the top of the screen in Clinical Review,
RXM,PWM,NUR and POM. The resuscitation status will display in red colored
text below the patient name to ensure users can quickly and easily access
the information.

THANKS!

Kimberlie A. (Kawinski) Bovard  BSN, RN
Nursing Informatics Specialist
Kennedy Street Medical Arts Bldg
Meadville, PA 16335
814-373-3054
kbo...@mmchs.org

----------------------------------------------------------------------

This message may contain Protected Health Information that is of a sensitive
and confidential nature. It is being sent to you with the authorization of
the patient or under circumstances where authorization is not required. You
are required to maintain this information in a secure and confidential
manner and are prohibited from re-disclosing it unless permitted by law.
Unauthorized re-disclosure may subject you to federal and state law
penalties.

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

[Pryor-Parr, Janet - MMCM]

We are doing this as well but I have a challenge (I recently posted
something to the L on this). What happens when the patient gets
discharged and then readmitted in a couple of days? I've found that
when patient gets discharged, that 411 in PCI stays there until it's
updated. If that update doesn't happen until a couple of days into the
2nd admission, then the OLD code status will still appear and that might
be inappropriate for the new admission. Is there a way around this that
I'm missing? Because of this 'glitch', I haven't attached this 411 to
any PCI menus. It does, however, communicate on our status board as
just another query that we've pulled over, not anything that is
parameter driven like showing the Code Status on the Process Flowsheet.

Any suggestions on how to make this code status 411 be reliably accurate
from visit to visit? I'd love to be able to block out data from that
CDS that was documented on a PREVIOUS admission. Any brilliant ideas?

Janet Parr

[Benoy, Marc - MGMC]

Hi all,

We are in the midst of reviewing our nursing documentation and we
tackled this issue with the following considerations and limitations.

1. We consider all patients upon admission in Full Status even if during
the previous admission - how recent this may be - the patient was in no
or limited code.

2. We considered a code status change an order which must be entered as
such in OE Meditech ... we are hereby aligning ourselves with POM where
physicians will enter this order directly.

3. We are aware that OE queries cannot be placed on NUR Status Board;
therefore, we have placed this query on an intervention which gets
completed once per shift (we did consider the time laps) which recalls
the Order Entry query values specifying the code limitations.

Marc

Marc Benoy RN, MS, MBA
Manager of Clinical Informatics

CHW, AZ - East Valley Market
475 S. Dobson Road
Chandler, AZ 85224
(480)728.3068
Marc....@CHW.edu

[Bill Mullins]

We make all patients FULL CODES on admission, until there is a written
order.

We use a leveled NUR Intervention for the different levels of code
status.

On our OE ADMN Data screen, we use an attribute to call a custom report
that lists the patients code status.

When the doctor writes a new code status order, we do not enter this
into OE, we update the leveled intervention and that updates OE ADMN
DATA screen and any census reports with the code status on it.

See attached files/reports for examples, Magic 5.62

OECODE2 CODE STATUS: SAME 63

ATTRIBUTES

IFE=IF{/["aa"]^/R.FRAG.ARG %Z.rw.fragment(

IFE="NUR.PC.WORK.zcus.bm.code.status.frag.R","NUR.WTN")},

Good Luck,

Bill Mullins RN
Williamson Medical Center
2021 Carothers Road
Franklin,Tn 37067
615-435-5630

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Pryor-Parr, Janet -
MMCM