RE: [MEDITECH-L] (no subject)

[Davis Daniel - Southern Hills]

Cynthia, I believe there are a few important points to cover as you begin this, or any computerized documentation, process: Do your best to accommodate end user requests for how the system should work.  This is especially important for complex charting like you find in ICU. Implement as many helpful attributes on-screen as you can.  If users find that the computer assists them with vital information and directs their attention to important issues while they are documenting they are less likely to resist a new process. At the same time that you build quality screens for input, think about how you will give users access to the output.  Remember that output can be reports, but it is also how information is available in PCI and onscreen where it makes sense.  If users see that they gain unique ways of viewing data and seeing relationships between different data it can go a long way toward motivating them to change. Ensure you have strong CNO/Manager backing for the project.  Sometimes we are resistant change just because what we have seems to be working just fine, and we believe in the principal, “If it ain’t broke, don’t fix it!”.  So, if you find it difficult to offer enough carrots to get the staff on your side simply having the support of upper management who say, “It will be this way” can eliminate the grumblings.  And, you want them on board for those who simply go behind your back to someone they think can and will shut the process down.   Daniel Davis, RN From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Friday, November 10, 2006 8:23 PM To: Cynthia Frederic; meditech-l@mtusers.com Subject: Re: [MEDITECH-L] (no subject)   I've worked as a staff/management nurse in 2 ICUs, although it may be important to point out that both of them were relatively small (max 12 beds). The unit I'm with at present does indeed document in Meditech and the nurses use all the same screens that the Med Surg nurses use, with the exception of a single CDS that is only one page and functions as a sort of flow sheet for vitals and I&O. And this seems to work fine for them, regardless of the stability or complexity of the patient.   The unit that I worked with in the past certainly could have documented in Meditech, using the screens developed for Med Surg and adding just a few special ones to cover the nursing interventions/care unique to that setting (eg invasive hemodynamic monitoring, temporary pacemakers, mechanical ventilation).   Good luck - and if you'd like to carry on this conversation off -list, I'd be happy to. Sharon   -------------- Original message -------------- From: "Cynthia Frederic" <[EMAIL PROTECTED]> Good Morning –L,   I’m about to start building screens so that the ICU can chart in Meditech.  I know I’m going to meet with a lot of resistance and would like to go in as prepared as possible.  I am looking for help from anyone that currently has screens built and are charting in Meditech for ICU.  Any input would be greatly appreciated.  Up to now, I’ve heard every excuse why the ICU can’t chart in Meditech.  If there are any legitimate concerns, I would like to know now before I get too far.   Thanks for your help and input,   Cynthia Frederic, RN Nursing Informatics Ochsner Medical Center of Baton Rouge   This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail.

======================================
All messages should be posted in plain text.  
HTML will be converted to attachments.    

The meditech-l web site is MTUsers.com
______________________________________
meditech-l mailing list
meditech-l@MTUsers.com
http://mtusers.com/mailman/listinfo/meditech-l