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Delete Left column pulls previous VUMC medication list from Patient Summary (from clinic visit, last hospitalizatio n, 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

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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 Presentation

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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