Well, I practice nursing and I think someone is giving you the run around Kim....a board cannot setup a criteria that they cannot enforce............I can't imagine that your state has enough money to go from hospital to hospital to monitor this..........I would look first of all in your facility to see who the over zealous interpreter of the standard is ....... In my experience it is usually the way something has been read by one person, you know the one that is way, way out of the box........ The one that worries that med recon makes us responsible for doctor hopping and etc..... any way my 2 cents
Kay H. Morgan, RN Nursing Informatics/Clinical Analyst 256-386-4373 -----Original Message----- From: Bill Mullins [mailto:[EMAIL PROTECTED] Sent: Thursday, June 21, 2007 10:21 AM To: Kimberly Frick; meditech-l@MTUsers.com Cc: Cassie Davenport; Rose Willeford; Kevin Goecke; Karen Ham; Steve Pruter; Steve Bilyeu; Kay Morgan Subject: RE: [MEDITECH-L] Access to eMAR What next? What is the purpose of this secondary security feature (PIN NUMBER when filing meds)? The user enters a secret code to get into the dispensing machine to get the meds, then they enter another secret code to log onto the computer, now they want a 3rd secret code to administer the med. The defense department doesn't have that level of security (ha ha...) Has there been a rash of incidents where a rough nurse rooms the hallway and sneaks into a patient's room where a computer session is actively on the Process Meds screen and the primary nurse has walked away in the middle of Passing meds and those rough nurse files that administration??? I am all for patient safety, I think EMAR and BMV are great and do increase safety and decrease med errors, but there has to be some common sense. God I am so glad I do not practice nursing these days. Thanks, -----Original Message----- From: Kimberly Frick [mailto:[EMAIL PROTECTED] Sent: Thursday, June 21, 2007 9:48 AM To: Bill Mullins Subject: RE: [MEDITECH-L] Access to eMAR I'm sure you didn't. Ohio's Pharmacy Board is the strictest in the nation. Meditech had a custom for Ohio sites because of the requirements. We must scan our pin and the pin must be unknown to the user so the user cannot type it in. It works beautifully, so I think MT is going to make it standard in a future release. Kim Frick, RN Project Coordinator Licking Memorial Health Systems Phone: 740-348-4114 Fax: 740-348-4769 [EMAIL PROTECTED] www.LMHealth.org -----Original Message----- From: Bill Mullins [mailto:[EMAIL PROTECTED] Sent: Wednesday, June 20, 2007 8:10 PM To: Kimberly Frick; Sharon LaDuke; Kenny Whiteside; Deborah L O'Briant; meditech-l@MTUsers.com Subject: RE: [MEDITECH-L] Access to eMAR We did not have this requirement in Tn, 5 yrs ago, I do not know about it now... -----Original Message----- From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of Kimberly Frick Sent: Monday, June 18, 2007 9:21 AM To: Sharon LaDuke; Kenny Whiteside; Deborah L O'Briant; meditech-l@MTUsers.com Subject: RE: [MEDITECH-L] Access to eMAR I thought that an additional level of authentication was unnecessary too, but our State Pharmacy Board requires it. This level of security doesn't exist in the paper MAR world, so why is it so restrictive in the electronic version? Our State Board of Pharmacy requires us to enter our pin last, so we did not have a choice for that either. The only advantage I can see of entering it last is that you can access the e-mar to view the MAR, run MAR reports or do anything else except document without entering your pin. The "enter pin" prompt only comes up when you document something. Kim Frick, RN Project Coordinator Licking Memorial Health Systems Phone: 740-348-4114 Fax: 740-348-4769 [EMAIL PROTECTED] www.LMHealth.org -----Original Message----- From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] Behalf Of Sharon LaDuke Sent: Monday, June 18, 2007 7:36 AM To: Kenny Whiteside; Deborah L O'Briant; meditech-l@MTUsers.com Subject: RE: [MEDITECH-L] Access to eMAR I recently worked for a multi-facility organization which did not require anything additional for eMAR access. No problems that I ever heard of. Sharon -----Original Message----- From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of Kenny Whiteside Sent: Friday, June 15, 2007 2:42 PM To: Deborah L O'Briant; meditech-l@MTUsers.com Subject: Re: [MEDITECH-L] Access to eMAR Deborah, We just had this discussion this afternoon also! If your nurses ALWAYS log off when they walk away from their computers.... I would say that the redundancy would be insane. But I also know that in the fast-paced, pulled in every direction at once world of hospital nursing... that's not likely to happen. For this reason, we chose to require the user's password when entering the eMAR from the Status Board. But who knows, maybe someday we will decide that this is not necessary! Have a good weekend, Kenny Whiteside >>> "O'Briant, Deborah L" <[EMAIL PROTECTED]> 06/11/2007 11:38 PM >>> Hello All, I am trying to gauge how the majority of sites live with the eMAR set up their password/pin options in MIS. We are currently using the NUR Status Board and the Project lead for nursing wants to take out any additional requirement to authenticate the user signing on to the eMAR. The thought is that the original request for a user mnemonic/password to log onto Meditech is sufficient and asking for the password again if accessing the eMAR, once in the Status Board, is redundant (we've set it up so all inpatient nurses get the Status Board upon successful sign-in). Our State Board of Pharmacy does not currently have any specific guidelines (yet) for us to follow. Has anyone experienced problems (ie, diversion) with the eMar and what security was in place at the time? I am trying to think of every scenario where having no additional requirement to access the eMAR might get us into trouble. I greatly appreciate anyone taking a minute to answer this posting! Thanks in advance! Deborah O'Briant Sr. Project Manager IT Applications Arkansas Children's Hospital (501) 364-3643 [EMAIL PROTECTED] ------------------------------------------------------------------------ ------ The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. 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