Meditech POM/PCM implementation

[crazErn, RN]

:monkeydance:Hello!

I would like to talk with anyone who has implemented Meditech POM/PCM. We are a Magic 5.53 site and are just beginning to build this.

It is very involved and I am trying to see if anyone has any tips, (besides dump Meditech, not an option, hospital has spent too much...)

or screen shots, manuals, help books etc... Anything that you wish you had known when you were building the program.

Any help is appreciated. :uhoh3:

[rninformatics, DNP, RN]

Greetings crazErn,

Have you tried sending this queryout tot he Muse Users Group - The Meditech Users' Group?

:monkeydance:Hello!

I would like to talk with anyone who has implemented Meditech POM/PCM. We are a Magic 5.53 site and are just beginning to build this.

It is very involved and I am trying to see if anyone has any tips, (besides dump Meditech, not an option, hospital has spent too much...)

or screen shots, manuals, help books etc... Anything that you wish you had known when you were building the program.

Any help is appreciated. :uhoh3:

[crazErn, RN]

Yes. I use the Meditech-L and MUSE links quite often but thought I would also try here.

[rninformatics, DNP, RN]

Cool, you might also try posting to Nursing L and or CARING

Angela

Yes. I use the Meditech-L and MUSE links quite often but thought I would also try here.

[mydesygn]

:monkeydance:Hello!

I would like to talk with anyone who has implemented Meditech POM/PCM. We are a Magic 5.53 site and are just beginning to build this.

It is very involved and I am trying to see if anyone has any tips, (besides dump Meditech, not an option, hospital has spent too much...)

or screen shots, manuals, help books etc... Anything that you wish you had known when you were building the program.

Any help is appreciated. :uhoh3:

I can't say we have fully implemented both at our facility. Our facility is free - standing pediatric C/S 5.52 site. We have utilized POM for several years and are in the process of rolling out PCM as part of utilizing POM in a "true" paperless enviroment.

I would like to clarify what your initial implementation plans are so far.

1) Are you implementing POM with the intention of unit sec entering orders into POM from the physicians written paper orders or is the plan for physicians to enter their own orders into POM? This realllly impacts how you build.

2) If you are planning a "true" paperless POM - What do you have in place for downtime?

3) Depending on you facility, How will you address orders given by primary care physicians or nurse specialists.

[pantheon]

Greetings crazErn,

Have you tried sending this queryout tot he Muse Users Group - The Meditech Users' Group?

I have been a RN since 1998. I can tell you that I used to work at The Valley Hospital in Ridgewood, NJ and they use Meditech. It takes a little to get used to but it's awesome. You can print your kardex's, labs, and even x-rays. It's user friendly. You should contact someone from the Education Department and I'm sure they can give you a lot of information. The main number is 201-447-8000. Good Luck;)

[crazErn, RN]

Thanks for your return message.

We are Meditech Magic 5.5 sr3 and will update to 5.6 in May.

We will have UC's and nurses doing orders from written orders first in OM and then when we bring up POM the doctors will do thier own orders.

[crazErn, RN]

Pantheon,

Thanks for the info. I will give them a call.

[mydesygn]

thanks for your return message.

we are meditech magic 5.5 sr3 and will update to 5.6 in may.

we will have uc's and nurses doing orders from written orders first in om and then when we bring up pom the doctors will do thier own orders.

our process to bring up pom was we created orders in pom and the secreataries entered the order into pom from the physician's orders. most of the orders were xray, lab, dietary etc.. essentially orders that were transmitted to other depts.

after 3 years of this process, we are begining to implement physician order entry and a "true" paperless system. this is a massive addl build because now we must build the "nursing" orders. simple orders such as "heplock iv" or "change dressing qid" to very complex nursing instructions such as post-op cardiac orders and dialysis instructions. we found the ordersets had to be broken up because the load time was extensive for an orderset for post-op cardiac orders (2 pages of written orders amounted to 50-60 pom orders). often pre-printed orders contained choices that the physician checked off. all of the choices had to be included in orderset. we had to consider how to build orders for lab work where the physician would not know the time (ie gent peak and trough with 3rd dose). the secreatries had to be re-trained to now enter the nursing orders. this was important since the secretaries needed to be fully able to help the physicians once they began entering orders.

we chosse not to use pcm intially since the secretaries were entering orders. however. we will use pcm as part of the physcian order entry.