I agree that the board needs to focus on something else! 

When we questioned the Ohio State Board of Pharmacy about paper MAR issue 
we were told that it they wanted to make electronic documentation and 
ordering safer than paper documentation.  I'm not convinced it is safer. 
Not only does this PIN pertain to the eMAR, but also to CPOE.

What is really frustrating is the PIN cannot be typed!  We have to develop 
bar-coded badges with an ASCII character, so our PIN's cannot be typed. 
Our employee ID badge barcode doesn't work because it doesn't have the 
ASCII character and I'm told that our Kronos system won't recognize the 
character if we would add it to our ID barcode.

We are the first Ohio Meditech Client Server site to receive the custom. 
We were supposed to go LIVE with eMAR and BMV on June 4th, but had to 
delay due to a unrelated problem.  The State Board called on June 3rd and 
told us they were coming on the 4th.  They gave us a certain criteria that 
we had to include in our policy.

Melody Hills, RN

Nursing Informatics
Fulton County Health Center
725 S. Shoop Ave.
Wauseon, OH 43567

(419)335-2015 ext. 2372
Email:  [EMAIL PROTECTED]

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"Kay Morgan" <[EMAIL PROTECTED]> 
Sent by: [EMAIL PROTECTED]
06/21/2007 04:49 PM

To
"'Kimberly Frick'" <[EMAIL PROTECTED]>, "'Sharon LaDuke'" 
<[EMAIL PROTECTED]>, "'Bill Mullins'" <[EMAIL PROTECTED]>, "'Kenny 
Whiteside'" <[EMAIL PROTECTED]>, "'Deborah L O'Briant'" 
<[EMAIL PROTECTED]>, <meditech-l@MTUsers.com>
cc

Subject
Re: [MEDITECH-L] Access to eMAR






That Board needs to focus on something else, where were they with paper
MAR's anybody could have written anything on your MARS, while you
administered meds or after they got to MR upon discharge..........boy they
need a life.....k

Kay H. Morgan, RN
Nursing Informatics/Clinical Analyst
256-386-4373




-----Original Message-----
From: meditech-l@MTUsers.com [mailto:[EMAIL PROTECTED] On Behalf Of
Kimberly Frick
Sent: Thursday, June 21, 2007 10:01 AM
To: Sharon LaDuke; Bill Mullins; Kenny Whiteside; Deborah L O'Briant;
meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Access to eMAR

You better believe it! Ohio's Pharmacy Board showed up on our doorstep the
week we went live to make sure that another nurse could not document on 
our
session. They went into a patient's room with a nurse and had another 
nurse
try to file the documentation. Meditech has to give Ohio sites a custom to
meet our requirements for nurse scanning upon administration. 

 
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: Sharon LaDuke [mailto:[EMAIL PROTECTED]
Sent: Wednesday, June 20, 2007 9:14 PM
To: Bill Mullins; Kimberly Frick; Kenny Whiteside; Deborah L O'Briant;
meditech-l@MTUsers.com
Subject: RE: [MEDITECH-L] Access to eMAR


Can a state Pharmacy board dictate what is done by any discipline other
than pharmacists? I don't get it. Sharon

-----Original Message-----
From: Bill Mullins [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, June 20, 2007 6:10 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] 

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