Need help with Sunrise system!!

NVRN2008 · Feb 6, 2009

I thought meditech prompts you for both of these things?? When the patient is newly admitted to the floor, the first things you complete are your admission H&P. Depending on your answers to the H&P questions, meditech will determine whether your patient is an at-risk MRSA patient (e.g. pt transferred from long-term care facility, hx of MRSA, etc) and will automatically notify you that your pt requires the screening. How you actually go about it is a question for your charge nurse, but I think Meditech takes the guesswork out of it as to whether or not you should complete it.

As for the thrombosis protocol, with every documented assessment (the initial admission assessment and each shift assessment) you are required to answer the Thrombosis Risk questions and one of the questions asks whether the protocol is already on the chart. If it's not, you have to print out the paperwork (I forget exactly where to find it, but you can ask one of the other nurses). You just go down the form checking off the number next to each risk factor that applies to your patient and then tally up the score. Depending on the score, your patient will be considered high, low, or moderate risk. You sign off at the bottom and scan the paperwork to pharmacy so they can enter the standing thrombosis orders into eMAR. Then you flag the standing orders for the doctor to sign and place it in the chart.

I hope that helps