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Positive Patient Identification for Medication Administration
When EMR becomes broadly operational in October, patient care providers will scan both the patient's wristband and the medication being administered to ensure the Five Rights of Medication Administration are accomplished. What are the five?
- Right Patient
- Right Drug
- Right Dose
- Right Route
- Right Time
Hybrid Chart
Beginning in October Floyd will use a hybrid chart. A hybrid chart is exactly what you think it would be: Part of the patient chart is electronic and part of it is paper. Nursing and ancillary results and documentation will be completed electronically as part of the patient's EMR. Physician orders, physician progress notes and documents signed by the patient will originate on paper, then be scanned into the EMR and will be viewable. Nurses and physicians will likely use both the EMR and paper documents at times all documentation will eventually become part of the patient's electronic medical record.
eMAR
You're probably already familiar with the Medication Administration Record or MAR. Place an "e" in front of it and you have the version you'll see beginning in October-the electronic MAR or eMAR. The eMAR provides an accurate and streamlined place to document the administration of medications to your patients.
Electronic Results Review
As our dependence on paper decreases and we more fully integrate the EMR into our daily work flow, laboratory and radiology results will no longer be printed.
Medication History
Clinicians will be able to quickly and easily review the medication history of patients who have visited Floyd previously. This will help clinicians ensure that patients' historical medications are documented and will facilitate accurate medication reconciliation.
Duplicate Order Prompt
The EMR will provide the ability to check for any potential duplicate orders accidentally entered into the system. Clinicians will be prompted to review these orders and verify them with the ordering physician.
Drug Interaction Alert
EMR provides alerts to warn clinicians of possible adverse drug interactions. Clinicians will review these alerts and proceed with decisions that provide the best care for their patients.
Bedside Medical Device Integration
The EMR system will have the ability to communicate between many medical devices such as ventilators and fetal monitors and the patient record. Clinicians will be able to verify the information and easily upload it directly into the patient's EMR.
Retirement of HPF/Portal
It is expected that the current Physician Portal and Horizon Patient Folder (HPF) will be retired in December 2010. Portal and HPF users will begin using an EMR application called PowerChart to review patient records in October 2010. Portal will be available between October and December for physicians to resolve outstanding deficiencies previously assigned on HPF. Charts for patients seen after the EMR go-live in October 2010 will be reviewed via PowerChart.
Devices to Facilitate Floyd's Transition to EMR
 Many nurses will begin using Workstations on Wheels to document patient care. What's a Workstation on Wheels? It's a computer equipped with the EMR tools you need that can be rolled from patient room to patient room. The Workstation on Wheels cart also is equipped with a rechargeable battery. Like other clinical tools equipped with a rechargeable battery, the cart will need to be plugged in to recharge the battery when it is not in use. Many caregivers will also use CareAdmin, which are barcode scanners that are tethered to the Workstations on Wheels. Others will use CareMobile, which are wireless barcode scanners. These tools will be useful to achieve proper patient identification. Emergency Care Center physicians will begin using computer tablets to place orders, to review results and to view nursing and most other documentation. Some patient rooms will be equipped with bedside computers for clinical documentation.
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