Dream Factory by TruBridge Ideas Portal
Currently initials that pull to the EMAR when a med is administered vary between some users first and last and others with first middle and last. We had an issue that led to a misunderstanding because the nurse initials were "PM". The day shift nurse had to call the previous nurse at home to verify what time doses were actually given; as the night nurse missed the midnight dose. Then documented the midnight dose at 0539 as given, Omitted the 0600 dose at 0540...and for some reason went on to document that she gave the 1200 dose at 0545. In actuality, she only gave 1 of the doses. With her initials displaying as PM (AM would be the same way) made the issue even more confusing to view. If initials are consistently displayed as FIRST, MIDDLE AND LAST throughout TUX and TWC; misunderstandings like this would be avoided. See attached screenshot.
We have multiple employees who have the same exact 3 initials so pulling initials only is a very bad practice. I can understand in some screens that only initials show but it's really not safe/smart. All 3 initials and credentials would be better but still we have 2 different CNAs with same exact initials so this isn't helpful either. You should have full name and credentials on all nursing documentation whether it be EMAR or Flowcharts. Also POC Reports field is way too short to do full name or initials and credentials so that's bad as well. You definitely need a better and more uniform way to show who documented what as I'm constantly playing the who's initials are these game between lab, xray, nurses, cnas, pharmacists, & providers.
adding the middle initial to the payroll field in Thrive or the Employee Setup/Maintenance field so it pulls to the eMAR is what you need to do. Here is some helpful info about where initials and employee names pull from now:
initials on the eMAR grid pull from initials field on pg 1 of payroll or from Employee Setup/Maintenance if they don't use Thrive payroll
order detail pulls from POC reports field in payroll (page 3 of emp info)
Medication report pulls name from System admin and then it pulls the credentials listed after the name from the Credentials field in Payroll (page 3 of emp info) or if they don't use Thrive payroll then Credentials will have to be added to the Name field through Employee Setup/Maintenance