Stream: implementers
Topic: When is now NOW?
Grahame Grieve (Jan 25 2019 at 19:37):
request for comment: http://www.healthintersections.com.au/?p=2906
Grahame Grieve (Jan 25 2019 at 19:45):
https://twitter.com/loftwyr/status/1088885249365368832
@GrahameGrieve Now is "upon dispense", so marking the dose time as that would set a time minimum as to when NOW occurred and allow for notes to state if it was later.
- David Pyke (@loftwyr) Lloyd McKenzie (Jan 25 2019 at 19:57):
"Upon dispense" isn't terribly relevant if you're talking about floor stock or something on a crash cart. It also can't be "as soon as the order is created" - as in emergency cases, the order doesn't created until after the administration/procedure/whatever is done. My general leaning is to say that "NOW" might be better phrased as "immediately" with a definition of "as soon as possible once the request is effective". If you're capturing a retrospective order, the effective start time would be at the time the decision was made.
Brian Postlethwaite (Jan 27 2019 at 00:47):
Is this what would be used in templates or guidelines?
Michael Donnelly (Feb 05 2019 at 16:48):
I'm not sure if I can ask this without unintentionally falling into parody.
Is the "now" intended to be from the point of view of "now" or from some point in the future, looking back on the "then" that was "now" when it was "then?"
Since I don't have high hopes for that sentence, I'll give two examples:
1. When reviewing yesterday's med administrations, a clinician can see that he or she ordered a med with the intent that the med be given to the patient immediately.
2. A clinician ordered a med that should be given to the patient immediately. It hasn't been administered yet but hopefully will be quite soon.
Last updated: Apr 12 2022 at 19:14 UTC
