delete
DESCRIPTION
Nursing Admission History with New Med List Tool. How To Use the Med List Tool (MLT). Step 1. From the Nursing Admission History, c lick Edit to open the Med List Tool and document the p. Delete. The Medication Summary screen displays with status and date/time list collected. - PowerPoint PPT PresentationTRANSCRIPT
Delete
Left column pulls previous VUMC
medication list from Patient Summary
(from clinic visit, last hospitalization, etc.) NON EDITABLE
Right column is “SCRATCH PAD” with
VUMC list of medications
EDITABLE
Step 2. Edit, Deleted and Add
medications
Step 3. Click “Submit for Review”
when all edits are completed
How To Use the Med List Tool (MLT)
Edit
Step 1. From the Nursing Admission History, click
Edit to open the Med List Tool and document the p
Add a medication(denote last dose take in comments)
The Medication Summary
screen displays with status and date/time list
collected
Nursing Admission History with New Med List Tool
MLT is in section 1 & should be completed
within 2 hours of admission
Supporting Code Status Indicator Changes for Nurses
The Attending completes the Code Status Form in Starpanel to document/ initiate orders . This must be done with EVERY admission- DNR orders don’t carry over from admission to admission This documentation generates the orders and hence the indicator on the whiteboard
What to Look for ( in order of priority)UD- indicating that pt had a previous DRN order but that has NOT been entered in the electronic Code Status note for this admission. NOTIFY ATTENDING . CSLs and RSLs are responsible for monitoring the Indicator and contacting the Attending if the Indicator shows an Attending Signature is needed on Code Status Instructions.
D – indicating that the attending has signed a DNR/ DNI order/documentation
UF= previously had a full code documented but that has NOT been entered in the electronic Code Status Note for this admission
F= full code