This guide last modified:
2023-02-10 06:30.
.
| Typical Solutions | |
The PRN Medication Effectiveness solution delivers automatic reminders to care givers in order to ensure patients are reassessed for medication effectiveness after a dose is administered.
PRN (pro re nata) translates to "as the situation requires." A PRN order means that a medication may be ordered as needed for the patient. With administration of the medication, the nurse should reassess the patient for effectiveness of the medication at a defined interval depending on the route of administration. When the medication is marked as given in the electronic medication administration record (eMAR), Vocera can receive the time of administration and start a timer to send a notification to the nurse when the re-assessment is due. The administration details are recorded in the facility's EHR along with the prescribing physician's ID, and integrated with the patient's details (ID, location) from the ADT records.
An order for pain medication orally every four hours as needed (PRN) has been ordered in the EHR for a patient. The nurse administers the medication at 1:20 due to a reported high pain score by the patient and records the administration in the eMAR. Sixty minutes after administration, a Vocera notification reminds the nurse that the patient should be reassessed for pain relief and the results documented.
The EHR record is updated when a nurse delivers a pain medication dose to the patient. The update event includes the time of the dose, and is received by Vocera in a distinct HL7 feed (eMAR) by Vocera. This eMAR interface includes specific HL7 messages detailing the medication dose, medication route, and medication delivery time, which triggers a configured rule. A Vocera rule integrates all available details and in a set period of time after the dose is administered, sends a reminder to the caregiver at the ideal, clinically relevant time to check on the patient's pain score.
The HL7 RAS-O17 message may be created by the administering application (e.g., nursing application) for each instance of administration for an existing order. The RAS-O17 event uses the ORC segment to identify the medication information.
In this HL7 sample, the ORC.7.1-3 (quantity, interval, duration) fields identify the patient's medication doseage; 5MG Q6H PRN. Upon a medication delivery update event in the EHR, Vocera triggers the reminder notification to be sent to the caregiver.
MSH|^~\&|R1LAEX NURSE CALL|509|R1LAEX NURSE CALL|509|20171227081354-0500||RAS^O17|5092635771984|T|2.4|||AL|NE|USA PID|||222938|58^^^^AGE|SMITH^JANE^IHH||19590413|F|||||||||||101230007 PV1||U|6D MED 6D117-1^^^509||||297691^STEPHENS^AKERIA^D ORC|XX|30257834^R1LAEX^30257834^IEN|144U||||5MG^Q6H PRN^^^^^^^^P||201701190020-0500|297691^STEPHENS^AKERIA^D| ||||201701190020-0500||||297691^STEPHENS^AKERIA^D
This guide last modified:
2023-02-10 06:30.
.