Transcript eCDR VCH Training 1.15

Electronic Controlled
Drug Record (eCDR)
in
eCDR Overview
Controlled Drug Record documentation will be
completed in HED instead of on the paper CDR.
•
Paper CDR will only be used for transfers into or out of areas
not using eCDR in HED or during downtime.
• Epidural infusions will remain on paper CDR at this time.
• New CDR tab in HED.
VUH Towers
2/10/15
eCDR Timeline
2014-15
VCH 6A
1/20/15
SICU & 9S
9/15/14
Palliative Care
Pilot
8/12/14
Aug ‘14
Burn & PICU
Pilot
9/23/14
Sept ‘14
Jan ‘15
Feb ‘15
CCT, MCN
& 4E
2/17/15
VCH
2/24/15
Start Infusion
Don’t
forget to
Co-Sign!!
Drug Label
The drug concentration
to be entered in HED
can be found on the
medication label.
Locate priming volume
on packaging of IV
New Bag/Syringe
Don’t
forget to
Co-Sign!!
Charting Specifics
Completed/Denied
Completed/Denied
Example: in the last 4
hours patient received
3 PCA doses, but he
pushed for it 10 times,
you document 3 / 7
Stop Infusion
Annotate if Left to Count is not zero:
“Wasted amount measured &
witnessed by 2 RNs as per protocol”
End of Shift/
Handover Report
*When reporting to another area using HED CDR
During handover report the nurse should
chart volume at start and cosign.
Reminder: Clear pumps every 4h & end of shift or per unit standard
Co-Signing
RacfID is required to co-sign in real time.
What’s Changing
• Blank CDRs will no longer
be available in AcuDose
with meds. Call pharmacy
if a paper CDR is needed
• Documentation of all
requirements elements will
be under new CDR tab in
HED, including cosignature
• For areas, not using HED
CDR documentation, paper
CDR will be used in
handover
What’s NOT
Changing
• Assessment of
patient under
sedation or on pain
medications
• Documentation of
the following will still
take place in HED:
– IV Intake
– IV drip rates
Transfer to area not
using HED CDR Tab
• If you receive a patient with a paper CDR, follow
the Start Infusion instructions using the CDR
amount as Amount at Start.
– Annotate “See HED for CDR documentation”
– Paper CDR should remain in the chart & scanned into EMR
• If you transfer a patient to another area, you
must transcribe Left to Count from HED to the
CDR.
– Annotate “See HED for CDR documentation”
– Paper CDR should be given to the transfer unit
RacfID
Password Reset
If you do not know your RacfID or password, please call the Help Desk at
(3-HELP) to have your RacfID password reset prior to implementation.
If you want to have the same password for both your VUNetID ePassword and your RACF ID, follow these guidelines:

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The password must contain exactly 8 characters
It must have at least one capital letter
It must have at least one number
It cannot have any special characters or be a part of your name, SSN, user ID, or date of birth.
Example: Coconut1
To reset your VunetID password click the following link: http://its.vanderbilt.edu/epassword/
Effective Tuesday, February 24th
Changes apply to VCH Inpatient Units
System Support Staff will be providing 24/7 onsite support.
If you have questions or need assistance:
Call the Help Desk at 343-4357 (3-HELP)