I’m currently employed as a Nurse in a California Correctional Facility. This facility currently has no eMR. I’ve taken upon myself to gather information on a possible OpenSource solution to present to the administration. One question I have is does OpenEMR have the capacity to print out a Medication Administration Records for the current patient prescriptions.
I am in the beginning stages of gathering this information. I would appreciate any information or input on this en devour.
EMR will store list of medications with active/inactive status for each patient.
If you want to record a round where you went around administering medications to 100 patients, there is no single form you can click to record the fact that medications were administered to those 100 patients.
But if you are willing to update each patient record at a time, use a new form being tested that will let you record medication administration and a small note. Check this clip by produnis. In your case you would establish and maintain the central medication/drug formulary in the procedures section. Then for each patient for their current recording period create an encounter - no need to create a new encounter every time. When medications are administered, just enter the amount and optionally a note. Then as video shows, it becomes part of the patient record which can be printed.
Future Geek, you are in luck! No better advisor compared to fsgl with patience and good references. OpenEMR is so flexible that it is overwhelming flexible, for the Newbie, but keep testing and adding. Demos are fine to corrupt without consequences , NEXT day or week result makes everything as before. Only problem might be you have to insert you already done information every next rest session. This can be counteracted to make Backup with sq.l and reload the Backup.
The other one not a know-all is me, I worked as a general physician for 25 years in Curacao. So I know how it works in Curacao an the Netherlands. In CUR we have one Prison with all options of Women and Men, Preliminary, short and long term inmates. Also problem illegals etc…
ADVISE: Keep on asking and keep reading the WIKI, it is a good SOURCE of much information.
I know the persons who did things like you mention. But as a treating medical person you get a sort of immunity and protection, if you are willing to listen to the complaints. The medical persons should be the persons that are trustworthy.
Don’t underestimate the fact that NOBODY can be trusted in prison, unless. Because they are in prison and at least a suspect of NO MINOR CRIMES…
Thiefs also have the snake in their banner… time to think about changing the Aesculapius etc… NO, we can trust and Hippocrates did tell you to do only the good things and register in OpenMER (Thou shalt use the OpenEMR registration)
I have nowhere near the life experience of Pimm (per note below) or the wisdom of fsgl, but I have worked as a med nurse in a couple jails in my time, and other places where we used something similar to what I think you’re describing.
The Med Admin Records (MARs) we used were printed paper pages for each patient, kept in the med book. Each page had date columns across the top and medication boxes down the left side with 4 rows per med for the times of each med pass. Lines and columns formed a grid, and in the intersections of date/ med time each med would be manually initialed as it was given during med pass. When a MAR is filled you need to print out another with minimal transcription error, so it’d be handy to have an application that would take each patient’s current med list and crank out a new individual MAR or set of med sheets.
Now that Harley’s post has jogged the memory, the mental image of the nurse’s med sheet popped back into consciousness.
It is less of a problem of printing up the med sheet but more of constructing the form. None of the Contributed Forms seem to fit the bill.
MDS’ suggestion is the closest to the med sheet but the Track Anything Form is not yet available. Also it does not conform to the grid format. If that format is an absolute mandatory requirement for the med sheet, professional support may be necessary for its construction.
Attach an image of a blank med sheet to help Pimm and MDS think of more tailored solutions.
What is asked by Future Geek is something to track, but also track if it is dispensed, AND the dispensing might have to be stopped, changed or continued for a longer period.
The Doctor prescribes an medication => The nurse/client => Pharmacy Department => Patient gets the Medication. So far it is all in OpenMER.
In Prison the medication is dispensed, sometimes on a prescription base, sometimes on a daily base, even on a scheduled hourly related base, and all these differences in way of dispensing have to be done, controlled and checked for correctness.
It could be done by Prescriptions and writing a repeat Prescription. With an additional note.
Paracetamol 500 mg 2 tablets, every 8 hours. Repeat 42 times (=7 days), keep track of total amount of dispensed and total tablets taken, in a Client based note or Nation notes or any other available comment form in OpenEMR.
Or in a trustworthy environment:
Rx Paracetamol 500 mg tablets
Total #42 tablets
S. 3 dd 1
Can these two different forms of dispensing be differentiated and controlled for correctness in OpenEMR? Please give your comment.
Make an “In house dispense Medication Warehouse”. Give the Client his own total amount in the warehouse. The in house stock could be: Joe-Thief-Paracetamol-Stock; Total in house 42 tablets, dispense 2 tablets, Total amount in stock 40 tablets. Could even give a warning when there are still 6 tablets to be dispensed, so a rest amount of 2 days medication.
I don’t know if the stock for Joe Thief could be ordered from the Normal dispensary warehouse of the in prison Pharmacy, but this seems to me a minor issue.