Category Archives: eMAR

Hurricane Sandy & Optimus EMR On-Site Redundancy

Hurricane Sandy occurred in October 2012 and brought widespread devastation and severely affected the utilities and other services in our area of Long Island, NY. In fact, we were without electricity for 23 hours and used our backup generators during that time period. In addition, our internet services were out which meant that communication to the Optimus EMR data centers was not possible.

Despite these utility outages, we were able to function using the Optimus EMR because of its on-site redundancy feature called an Evergreen Device. This Evergreen Device allows a facility to maintain normal operations during periods of utility outages including the internet. We deliver care to 460 residents and access to our medical records must be available 100% of the time.

Menorah Manor: CPOE and eMAR Implementation Findings

Category: Impacts and Benefits of Electronic Medication Ordering and Administration
Organization Name: Menorah Manor- The Bernard L. Samson Nursing Center
Organization Type: Skilled Nursing Facility/Long Term Care Rehab Facility
Author: Chief Nursing Officer, Anabelle Locsin, EdD., RN, LNC

Organization Description: The Bernard L. Samson Nursing Center is located within Menorah Manor in Saint Petersburg, Florida. The CMS five star ranked non-profit facility has 180 beds and was an early adopter of electronic medical records and electronic medication administration. The facility has embraced the volume of data available with the conversion to electronic medication administration and uses the outcome data to drive resident quality of care and workflow decisions. The facility enjoys an active census averaging roughly high 30’s-50 new admissions per month, depending on the season.

Clinical Decision Support

In your community, how often does this scenario occur?

You arrive in the morning and see that a recently admitted resident was sent to the hospital overnight with increased confusion and fever. In hindsight, you learn that the resident was not themselves, was restless and was assisted to the bathroom multiple times the night before last. The resident dozed yesterday and did not go to the Dining Room for any of their meals and ate little in their room. You review the documentation, track down the Nurse Assistant who cared for the resident yesterday who reports that the resident was “not herself, but I knew she was up most of the night. I reported it to the nurse.”

Recent Headlines from State Association Newsletters & National Healthcare Publications

CMS Will Conduct Focused Surveys in 2015
The Centers for Medicare & Medicaid Services (CMS) has announced that they will conduct focused surveys in certified nursing facilities nationwide in 2015. The focused surveys will review MDS 3.0 coding and staffing levels using record review, observations, and interviews with staff and residents.

CMS piloted the focused survey earlier this year, surveying five facilities in each of five states, including Minnesota. The pilot focused on the resident assessment processes in more detail than the annual surveys.  Findings from the pilot included inaccurate staging and documentation of pressure ulcers, lack of knowledge regarding the classification of antipsychotic drugs, and poor coding regarding the use of restraints. All but one of the 25 facilities had deficiencies cited by the surveyors.


Paper Med & Treatment Pass vs. Today’s eMAR & eTAR

This is a true story. When I first got out of nursing school, I was given the assignment of passing meds and doing treatments for 25 residents in a long-term care facility. I walked in the room and a sweet little lady was sitting in a rocker next to the bed. “Mrs. Black,” I asked? She replied,” yes” so I prepared and gave her meds. About that time a CNA walked in and said, “Mrs. White, let’s get you back to your room.” Well, you can imagine my horror.