MEDITECH UPGRADES. NUR STATUS BOARD ENHANCEMENTS CHANGES IN ORDER ENTRY (OE). Tuesday, March 29, 2011 there will be an upgrade to Meditech. Changes on the Status Board through the NUR Module are: Allergy Management New orders visualized on Status Board Managing your List of patients
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NUR STATUS BOARD ENHANCEMENTS
CHANGES IN ORDER ENTRY (OE)
Changes on the Status Board through the NUR Module are:
New orders visualized on Status Board
Managing your List of patients
Order Entry and Administrative Data are affected by the Allergy Management changes. This allows Nursing and the patient departments to have an update picture of the patient’s allergies.
To enter a new allergy or document ANY allergy on the patient click on the Allergies button in Status Board
Click on New if the patient DOES have an allergy to enter.
This is a patient that has NO allergy information identified.
Or click on NKA if there are no allergies
Enter the allergy in the blank field. As you add letters, the text will pull choices below.
Highlight onto the appropriate drug or food name, then click the severity of the allergy or adverse reaction below. Then OK.
Patients will state an allergy, but when questioned they state that a medication made them nauseous. This is an adverse reaction, not an allergy. To err on the side of caution, put the patient’s verbiage in “Reaction” and pharmacy will verify this as allergy or adverse reaction
Once an allergy or adverse reaction is entered, you have opportunity to enter more entries by clicking on the New button on the right and begin the process again for each drug.
When completed, click the File button on the lower right side or <F12>. The following will display – if this is correct, click on Yes.
This allergy shows the date that this allergy was last updated and verified by pharmacist.
These allergies have been filed by nursing , but not verified by pharmacy.
When entering NKA, this is what will show in the allergy fields.
There is also an option to document “Unobtainable” for allergies.
NKA and Unobtn (Unobtainable) is accessible only on patients without any allergy checks
The ability to Delete an allergy is subject to the access of a staff member.
Verify is accessible to Pharmacists only
There is the ability to run an audit trail.
This will show any time a patient allergy field had an entry or adjustment made to it. This is access restricted.
Again, this is based on access.
When filing these options, you are given a warning screen.
If you are accustomed to entering allergies, height, weight, etc via the OE option of Enter/Edit Administrative Data, that is still available.
Choose the patient – Right Name, Right Account Number, Right Location
When you respond yes to File? You will get a pop up box asking you to Manage Allergies. (see below)
The same allergy management field will open up for you to review, make additions or changes.
Reviewing Orders in Order Entry
This will represent orders that are put into the Order Entry system.
When an order is put into the OE system, it will migrate to the New Order column and allow you to view specifics of this order.
Red = Stat order
Blue = Regular order
Ex: 1604 Haden
Highlighted on the patient and click on verbiage for order that you want to view, in this case.
New orders list will open for you to review.
Orders will list with their category, priority, event, status and the time the order was entered.
If new meds are available, you can view the meds.
This is NOT the same as signing off or acknowledging the order! (that will come later in the year)
Highlight the order to view and click on the detail button to view the details of this particular order. Scroll with the scroll bar on the right to see more of the details.
Once you review, close at the bottom of screen.
Once you have reviewed the order and return back to the Status Board, the color and notification are removed.
When there is an order written for a Code Status, we now have an place to put this in the computer so that it is available to view in the Status Board.
The Category is CODE.
The procedure is CODESTATUS.
These are options available in the Code Status
The Code Status entries will carry over from one admission to the next.
The Code Status is available to view in the Status Board, if there has been an order placed at some point for a Code Status.
MANAGE YOUR PATIENT
NEW LOOK AND FUNCTIONALITY
Do not have to enter your User ID. The person signed in automatically defaults in.
As before, the previous assignment shows in the list. However, now you can clear the entire list to reenter a new assignment with the clear button.
1. Using the mouse, click on the patient name OR the room number to choose your list.
2. Then click on the Assign button at the bottom.
Once you have made your list, click Assign.
Then click File. (See above)
There will then be a file option (below). If this is a new assignment you will be clicking “Replace”.
If you are adding to an existing assignment, you will click “Append”
Your new list of patients will show up on your Status Board!
If you encounter any problems with your access in Nursing, call:Joy Hoffmann at 5283Clinical Education at 5287 1808 for Technical Support