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Discussion

Point Click Care

I was just wondering if any long term care facility's were using pcc. We are located in B.C. and have just started using this system a few months ago. The problem we seem to be having is related to pharmacy and doctor regulations. We are required to have a 'wet' signature on all the orders that are being processed. Electronic signatures (when the doctor sign in) is not accepted. This seems to double up our workload , as we have to print off pharmacy requisitions in order for the doctor and the nurse to sign then file these in the residents charts. We are not using the emar system yet. I am just wondering if other care facilities have encountered this problem and if so , how have they dealt with this. I have spoken with the pcc representatives and asked if there was a signature pad that is compatible with the program. So far they don't have anything like this.

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We do not use the Dr and pharmacy parts of the PPC for that very reason. We use all of the other features but because the regulations have not caught up with computerized systems, it was safer to keep paper orders for the doctors to write on and we would fax these to our pharmacy. Also our Doctors did not want to use a computerized method. So that was that for now.

I know that it is not much help to you, but in the implementation process this became such a problem that we dropped it.

Have Question about Point Click Care!

When entering MD orders in Batch entry (Co is just starting/training in system) when you get done with the med our 'paper' orders have the reason for the med such as constipation, HTN, CHF, etc.) When charting this a drop box pops up and you have to choose from the above dx's for reason med is given...(not everything is entered as I found constipation issing from 1 dx...but...do you choose the best fit? for instance...a pain med on our paper orders states it is given for 'shulder pain'....shoulder pain was not a listed dx/ICD-9 but osteoparosis was...(yet there is an ICD-9 for shoulder pain as I saw it on another patient...) for all I know this person's pain could be muscle related and not bone....

Won't I be aking more work for the Med Records Dept when they have to go back and fix these? I asked this Q today and one of the Med Records girls got tisky...I'd rather do something right the first time...and am not getting answers...also...I have been out of nursing for some time and have never passed many of these meds...still learning them...I guess Ishould have a med book handy when doing this?

Am confused and would appreciate any help and/or tips as I am not getting it from the staff.

I looked for tools to this system online but have been unsuccessful to date.

To make atters worse, when the 1st training took place (overview) everyone who should have been there, like myself was not scheduled. The directions we were given are written as if you know what you are doing already...not for a newbie to the system....

Appreciate any/all help!

Thanks

KJW

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