Protocols in the ED

veetach · Nov 22, 2004

Thank you so much to everyone for your responses. Someone asked about computer programs. We are on Meditech and the new module for the ED is incredible. I hope the training and go live goes well....

needsmore$ · Nov 23, 2004

Veetach

We will be switching from Codonix to Meditech in the next year- many of our staff are used to Meditech for order entry, magic office email, etc. The nurses on the medsurg floor and telem use it now and we in the ED hear a lot of complaining about it trickle down to us. Do you find it user-friendly for the ED? Does it have capabilitis for integrating with your cardiac monitoring system to auto. download rhythm strips, download VS trends without hand entering? THat would be a step up for us- just in those aspects of charting alone

Anne

veetach · Nov 23, 2004

Veetach
We will be switching from Codonix to Meditech in the next year- many of our staff are used to Meditech for order entry, magic office email, etc. The nurses on the medsurg floor and telem use it now and we in the ED hear a lot of complaining about it trickle down to us. Do you find it user-friendly for the ED? Does it have capabilitis for integrating with your cardiac monitoring system to auto. download rhythm strips, download VS trends without hand entering? THat would be a step up for us- just in those aspects of charting alone
Anne

Our hospital has been live on Meditech for 3 years (this includes nursing documentation on all floors except for ED and CCU/ICU) our CCU/ICU just went live with nursing documentation last month, and we have been working on the EDM module since July 14. We are now working on Phase II of our implementation, we will go live with Nursing doc(in the ED) in June of 2005 and shortly thereafter, physician documentation, RX writing and discharge packets will be implemented.

It is a very thorough system, we just bought new spacelab monitors and they are compatible with Meditech. In fact, you can document at the bedside directly from your spacelab monitor. Sorry for droning on and on about this, but its pretty exciting for us. I hope you a good transition!

tiredfeetED · Nov 24, 2004

We are finally going to use medtech. We have been setup for 2 yrs but do to so much staff leaving and coming we have been on hold.. starting next week we will start bedside quick registration. We will slowly do all documenting at the bedside..

veetach · Nov 26, 2004

We are finally going to use medtech. We have been setup for 2 yrs but do to so much staff leaving and coming we have been on hold.. starting next week we will start bedside quick registration. We will slowly do all documenting at the bedside..

Do you guys have a tracker? If you all want to commiserate and compare notes about Meditech, email me:

[email protected]

good luck!

rnmelissa · Nov 26, 2004

We use TEV in our facility. It has plans to integrate with meditech. (we use meditech for order entry & lab results. We started out on paper for about awhile. We went live(paperless) about 10 months ago. In general, I think the majority like it. We also use protocols at triage. The MD's met as a group to decide on them. Some like them othes don't. It does seem to increase pt. satisfaction. Helps out with wait time. results are usually back before MD sees pt.

It was frightening at first for most of the staff, a period of adjustment.

Does anyone out there work for a Magnet Facility? How has that changed your environment?

CBER · Dec 3, 2004

Our ER uses "wellsoft" we all thought we would hate it. It is a tracking system and a documentation program and includes many other things we use that are changed and adapted to the hospital by the hospital. We all nearly die wheit goes out for an up-date. I am sure there are some problems but it will do just about anything. I am not sure how to tell you how to contact the people but they are so nice. I hope this is what you needed and I will try and get contact info if you want it. Gayle

Veetach, what computer system will you be using? We started using Amelior last month in the ER and it was a disaster. We all hated it, it finally crashed one night and has been gone several weeks now, and we are so happy! Just wondering if you know of a "good" computer system.

CBER · Dec 3, 2004

We have guideline we use very ofter for major trauma, chest pain and sob. They are basic and help tremendously when there is a crucn(more often than not)I can send these if it would help. Gayle

This topic has probably already been discussed, and for those of you who have been members here for a long time, I apologize for repeating the topic. I am wondering though, how many of you are allowed to practice using protocols in the ED?
I am talking about chest pain or respiratory or abdominal pain protocols, etc. Our hospital is going to start using them in the spring, with the go live of a new computer program.
I am wondering how many of you already do this.

akoster · Dec 3, 2004

We have guideline we use very ofter for major trauma, chest pain and sob. They are basic and help tremendously when there is a crucn(more often than not)I can send these if it would help. Gayle

I would be really interested in any protocols that anyone would be willing to share with me. I work in a rural hospital er and just this week started making protocols. Thanks

[email protected]

SUSIE Q SNEAD · Jul 5, 2005

COULD YOU SEND ME A COPY OF YOUR PROTOCOLS?

This topic has probably already been discussed, and for those of you who have been members here for a long time, I apologize for repeating the topic. I am wondering though, how many of you are allowed to practice using protocols in the ED?
I am talking about chest pain or respiratory or abdominal pain protocols, etc. Our hospital is going to start using them in the spring, with the go live of a new computer program.
I am wondering how many of you already do this.

SUSIE Q SNEAD · Jul 5, 2005

COULD YOU SEND ME A COPY OF YOUR PROTOCOLS? THANKS

We have begun the process of implementing smoe protocols in our ED just recently. Will be using chest pain r/o MI, Angina, Pneumonia and a couple of others within the next 6 weeks. We have computerized charting, but not orderentry -- so we are trying to figure out how to document our progress on the protocol ( pathway-like) without double charting. ER docs love the idea, the ER nurses -- are open to giving it a try. Our gen Docs.... don't even like suggestions, so am interested in seeing how they react when theses protocols are instituted on their units!!

SUSIE Q SNEAD · Jul 6, 2005

Please send me a copy of your medical directives. thanks.

We have advanced medical directives in place for COPD carepath, chest pain, migraine's, etc...and a bunch more. I can scan them and email if your interested. Awhile back, I had snail mailed a copy to someone on line and it would be costly. Let me know what your specifically interested in.
Sarah