Transcript Nursing Admission History with New Med List Tool (MLT)

Nursing Admission History with New Med List Tool
How To Use the Med List Tool
(MLT)
Step 1. From the Nursing
Admission History, click
Edit to open the Med List
Tool and document the p
The Medication
Summary
screen displays
with status and
date/time list
collected
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
Edit
Step 2. Edit, Deleted
and Add
medications
Delete
MLT is in section 1 &
should be completed
within 2 hours of
admission
Add a medication
(denote last dose take in comments)
Step 3. Click
“Submit for
Review” when all
edits are completed
Supporting Code Status Indicator
Changes for Nurses
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
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