Various Topics on Medicine - Nursing

..ldnur..

I'm looking for someone who works in PACU at an HCA owned hospital.

We are starting w/ Meditech at our hospital and I'd like to see how
it's used elsewhere.

Thanks

..

wildnurse wrote:
> I'm looking for someone who works in PACU at an HCA owned hospital.
>
> We are starting w/ Meditech at our hospital and I'd like to see how
> it's used elsewhere.

For those of us without a clue, please define "meditech" . . .

Will, crna

.... ..

Will, chances are, if you dont know what the question is about, you
probably aren't in a position to help, are you?

Meditech is a UNIX based electronic medical record that has been in
existence for over a decade. I am suspecting that since versions of this
product has been in existence for this long, the new user is from a
newly acquired hospital.

I have extensive experience in the ER and ICU with the product but
unfortunately none in a PACU setting. I will also say to the original
poster that while the general architecture is the same, individual
hospitals (and Regions) will have minor differences in the selectable
functions.

Compared to other EMR formats, Im sure its not as capable but this
product's earliest versions predates the latest windows based products
that are out there and does not require a mouse. One minor "problem" is
that the version that runs within a "window" on a PC uses different "F
key" or function key ***ignments than those using the Unix/Dumb Terminals.

Recently the region I work in has migrated from its previous
do***entation format to a "patient centered do***entation" format. In
reality all this did was re-organize the ***essment do***entation flow
but in practice it moves towards an electronic version of "chart by
exception" and facilities that have properly implemented it also direct
their staff to make only one ***essment per shift, then instead of
serial ***essments (in ICU for instance) only changes from that baseline
require further ***essment.

The same region in the past year has also begun a migration to
electronic do***entation of medications. To go along with this
migration, many of the facilities have either placed bedside terminals
in all the rooms (ICU and ER) to having battery powered roll-around
carts (floors) to allow for scanning of wristbands and the barcodes on
unit dose medications.

Some of the more savvy doctors will log in from home to check on their
patients, and when you call them in the middle of the night and need
comprehensive orders they will even direct one of their order sets to
print at the printer on the station instead of giving long verbal/phone
orders.

Dave

wc wrote:
> wildnurse wrote:
>
>> I'm looking for someone who works in PACU at an HCA owned hospital.
>>
>> We are starting w/ Meditech at our hospital and I'd like to see how
>> it's used elsewhere.
>
>
> For those of us without a clue, please define "meditech" . . .
>
> Will, crna

.... ..a..

Dave S <DoggtyredRN@earthlink.net> wrote in message news:<vn3Ac.7383$Wr.5037@newsread1.news.pas.earthl ink.net>...

> Will, chances are, if you dont know what the question is about, you
> probably aren't in a position to help, are you?
>
> Meditech is a UNIX based electronic medical record that has been in
> existence for over a decade. I am suspecting that since versions of this
> product has been in existence for this long, the new user is from a
> newly acquired hospital.

MEDITECH software is not UNIX-based.

- Doug Pratt

..rtim.. ..hner.. ..

Doug Pratt wrote:
>>
> MEDITECH software is not UNIX-based.


We've got it at my hospital. Although I'm sure it isn't, it is reminiscent of
DOS based software. Not particularly user-friendly, either.



--
Mortimer Schnerd, RN

mortschnerd@XXXXcarolina.rr.com
http://www.mortimerschnerd.com

..

Doug Pratt wrote:
> Dave S <DoggtyredRN@earthlink.net> wrote in message news:<vn3Ac.7383$Wr.5037@newsread1.news.pas.earthl ink.net>...
>
>
>>Will, chances are, if you dont know what the question is about, you
>>probably aren't in a position to help, are you?
>>
>>Meditech is a UNIX based electronic medical record that has been in
>>existence for over a decade. I am suspecting that since versions of this
>>product has been in existence for this long, the new user is from a
>>newly acquired hospital.
>
>
> MEDITECH software is not UNIX-based.
>
> - Doug Pratt

Right. Except that I know more about a PACU than the average poster
here . . . I haven't a clue about Miditech as I said, and I'll bet you don't
have a clue about "recovering" a patient from anesthesia I or anyone else
has administered, do you. I stubbornly cling to the belief this form is
about
nursing care for humans. . . not some frigging non unix software.

Will, crna

.... ..

I recieve patients from the CV and Main OR directly on a regular basis.
Wether my patient care meets your opinion of "recovery" can be regarded
as a matter of your opinion.

However, with regards to a proprietary electronic medical record format,
if you had used it on a regular basis its presumable you would know its
name, and perhaps the nuances regarding its use. I didnt attack your
standing as a CRNA or your ability to provide care under the provisions
of your license. I stated "Will, chances are, if you dont know what the
question is about, you probably aren't in a position to help, are you?".
The same would apply if I asked a question regarding specifics in the
PACU or other use of the Cerner Care4 system. Again, its proprietary
piece of electronic medical record software.

I dont doubt your clinical skills, your knowledge base OR the rigors you
endured to get those 4 letters after your name. And you are right, its
about the patient. Its ALL about the patient.

However, in my 15 years of healthcare, I have yet to encounter an
anesthesia provider who do***ents on anything other than paper using
various graphic/paper anesthesia flowsheets or paper pre and postop
surveys and progress notes. Not saying it doesnt exist but I am guessing
the OR suite is not the place for a rollaround computer terminal at the
head of the patients bed next to the anesthesia machine.

Dave

wc wrote:

> Doug Pratt wrote:
>
>> Dave S <DoggtyredRN@earthlink.net> wrote in message
>> news:<vn3Ac.7383$Wr.5037@newsread1.news.pas.earthl ink.net>...
>>
>>
>>> Will, chances are, if you dont know what the question is about, you
>>> probably aren't in a position to help, are you?
>>>
>>> Meditech is a UNIX based electronic medical record that has been in
>>> existence for over a decade. I am suspecting that since versions of
>>> this product has been in existence for this long, the new user is
>>> from a newly acquired hospital.
>>
>>
>>
>> MEDITECH software is not UNIX-based.
>>
>> - Doug Pratt
>
>
> Right. Except that I know more about a PACU than the average poster
> here . . . I haven't a clue about Miditech as I said, and I'll bet you
> don't
> have a clue about "recovering" a patient from anesthesia I or anyone else
> has administered, do you. I stubbornly cling to the belief this form is
> about
> nursing care for humans. . . not some frigging non unix software.
>
> Will, crna